Thank you for your interest in Seashore Family Services of New Jersey. Use the link below to apply and register for admissions without the need for a visit. You may also apply for financial assistance using our online application.
This application is HIPPA protected and encrypted with the latest security protocols. The HIPPA certificate from our business associate partner, LuxSci, is available below.
Once you complete the application, one of our counselors will communicate with you within 24-hours in the manner you authorized us to do so. Please be sure to sign your form electronically otherwise, we will not be able to contact you.
Below are links for the financial assistance policy as well as a list of the required documents you need to qualify for financial assistance. In most cases, based on the program you qualify for, the financial assistance covers 100% of the services we provided.
- Document Checklist for Financial Assistance, DMHAS Funding Grants and Fee for Services contracts
- NJ Division of Mental Health and Addiction Services, DAS Income Eligibility Policy
NOTE: Adobe Reader is required to view the .PDF documents. Download the free Adobe Reader.
Call us at Brick: 732-920-2700 or Toms River office 732-244-1600 for more information.
You can also schedule an appointment for registration or if you prefer, we can fax or email the forms to you for completion. You can return it to us via fax at:
Brick office: 732-262-0707
Toms River office: 732-349-5532
We will contact you within 24 hours with an appointment. Thank you.