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    Rich P.

    Rich

    Union, NJ

    "Thanks to the wonderful and professional therapists at Kessler, I'm almost better than new after my hip replacement surgery. I first hobbled in on crutches; now just a few months after surgery due to their dedication,…
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    chris r

    Chris

    Union 2: Union, NJ

    "After suffering for more than a year with severe shoulder pain leaving me unable to work or be active, I was finally diagnosed with a torn labrum. I underwent surgery (arthroscopic labral repair) in August and shortly…
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  • Services
    • Physical Therapy
      • Manual Therapy
      • Kinesio or Stabilization Taping
      • Instrument Assisted Soft Tissue Mobilization
      • Headache and TMJ Treatment
      • Vestibular Rehabilitation
      • Balance Training
    • Occupational Therapy and Hand Therapy
    • Sports Medicine
      • ACL Injury
      • AlterG® Anti-Gravity Treadmill®
      • Concussion Management
      • Dance Program
      • Golf
      • Overhead Throwers
      • Running
      • Education and Seminars
    • Work Health
      • Post-Offer Employment Testing
      • Injury Prevention
      • Ergonomic Programs
      • Customized Return-to-Work
      • Work Conditioning
      • Functional Capacity Evaluation
      • Safe Patient Handling
    • Specialty Services
      • ReVital Cancer Rehabilitation
      • Stroke and Neurological Rehabilitation
      • Cognitive Rehabilitation
      • Pediatrics
      • Speech Therapy
      • Lymphedema Treatment
      • Driving Program
      • Wheelchair Mobility Clinic
      • Career Guidance & Placement


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Patients and Consumers
  • What to Expect
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Request an appointment

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Patient Forms

  • Registration Form (PDF)
    Registration Form - Spanish (PDF)
    Adult Medical History Form - over age 18 (PDF)
    Medical History Form - Spanish (PDF)
    Pediatric Medical History Form - age 17 and under (PDF)
    Utilization Consent Form (PDF)
    Patient Responsibility Form (PDF)
    Patient Responsibility Form - Spanish (PDF)

    If you are receiving treatment at the Saddle Brook, Chester, or West Orange facility, please use the following forms:

    Registration Form (Word)
    Registration Form - Spanish (Word)
    Medical History Form (Excel)
    Medical History Form - Spanish (Excel)
    Utilization Consent Form (PDF)
    Patient Responsibility Form (PDF)
    Patient Responsibility Form - Spanish (PDF)


  • Why Kessler
    • History
    • Awards and Recognition
    • Events
    • In the News
    • Mission, Vision, and Values
  • Patients & Consumers
    • What to Expect
    • Patient Forms
    • Insurance & Patient Responsibility
    • Direct Access
    • Success Stories
    • Health & Wellness
    • Keep Moving e-Newsletter
    • Program Videos
  • Services
    • Physical Therapy
    • Occupational Therapy and Hand Therapy
    • Sports Medicine
    • Work Health
    • Specialty Services
  • Careers
    • Benefits
    • Employee Testimonials
    • Search Jobs
  • Contact
    • Contact Us
    • Request an Appointment
    • Locations
    • Selling Your Practice
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1050 Wall Street West, Suite 200
Lyndhurst, NJ  07071
(866) 33-REHAB