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(609) 482-3701
info@lifebacknj.com
Questions About Our Services - Email Us
Patient Portal Log-In
(609) 482-3701
info@lifebacknj.com
About Us
Meet the Team
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Menu
About Us
Meet the Team
Leadership
Prescribers
Clinicians
Billing
Intake
Reception
Services
Mental Health and Wellness
Psychiatric Treatment
Children and Adolescents
Family Therapy
Couples Counseling
For Patients
Intake Process
Patient Forms
Prescription Refills
Resources
Articles
Join Our Team
FAQs
Contact Us
Patient Forms
Intake Forms & Helpful Information
GENERAL FORMS
Medical Records Request
Intake B. Patient Intake Form
Intake C. Intake Packet
NEW JERSEY OFFICE
NJ Mental Health Patient Rights and Grievances
NJ Release of Information
Advanced Directive Information
Summer Heat and Sun Risks with Psychotropic Medications
PENNSYLVANIA OFFICE
PA Mental Health Program - Release of Information
Non-Discrimination In Services Policy