Thank you for your interest in Seashore Family Services of New Jersey. Below are several forms you may need to download and complete before you come into our offices for an appointment. Our counselors will advise you, which form you, need to download and complete. So please be sure to call us at 732-477-3507 for more information and specific instructions. Forms available to you include (Adobe Reader Required):
- Registration Referral Form
- Adult Admission Forms
- Adolescent Admission Forms
- General Record Release
- Document Checklist for Financial Assistance, DMHAS Funding Grants
- NJ Division of Mental Health and Addiction Services, DAS Income Eligibility Policy
- Providers Referral Form
Note: You can bring the form(s) to our office to schedule an appointment or if you prefer, you can faxed them to:
Brick office: 732-262-0707
Toms River office: 732-349-5532
We will contact you within 24 hours with an appointment. Thank you.
Please contact the clinic site supervisor if you have any problems scheduling your appointment. See the Executive Staff section in this web site for contact information.