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Practice Name

Newark Pain and Rehab Center

Primary Location
128 Ferry Street
Newark, NJ 07105
Phone: 973-344-0012
Fax: 973-344-0898

Office Hours

Day
Monday10:00 - 1:003:00 - 7:00
Tuesday10:00 - 1:003:00 - 7:00
Wednesday10:00 - 1:003:00 - 7:00
Thursday10:00 - 1:003:00 - 7:00
Friday10:00 - 1:003:00 - 7:00
SaturdayBy Appt OnlyClosed
SundayClosedClosed
Main Content

Newark Pain and Rehab Center offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.


New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Click here for Intake Form

 




Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form


Download the Free AdobeReader®

Exclusive Offer

Free initial consultation at $120.00 value and a free 15 minute massage if you mention you saw our website during your visit.

Sign-up using the form or call us at 973-344-0012 to take advantage of this exclusive offer.

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Email: *
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The practice of acupuncture helps with pain relief, healing of various diseases and a complete balance of energy within the body.

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Contact

Newark Pain and Rehab Center
128 Ferry Street
Newark, NJ 07105
Get Directions
 
  • Phone: 973-344-0012
  • Fax: 973-344-0898
  • Email Us
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Office Hours

Day
Monday10:00 - 1:003:00 - 7:00
Tuesday10:00 - 1:003:00 - 7:00
Wednesday10:00 - 1:003:00 - 7:00
Thursday10:00 - 1:003:00 - 7:00
Friday10:00 - 1:003:00 - 7:00
SaturdayBy Appt OnlyClosed
SundayClosedClosed
Newsletter

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Community Content
Member Wellness