Client Intakes and Referral Forms

Supporting Providers and Families

At Essential Therapy Group, we make the referral process simple and secure. Whether you’re a healthcare provider, case manager, or family member, you can easily submit a referral for Occupational, Physical, Speech, or Psychotherapy services. Our team will review each submission promptly and contact you to coordinate care.

Instructions:

To submit a referral, please download the form above, complete all sections, and email it to medy.essential@gmail.com
If you have any questions about eligibility, documentation, or service availability, our intake team is happy to assist..

Download Referral Form
Close-up of hand completing client intake and referral form at Essential Therapy Group in New Jersey