Request a Service

You may submit a request for service using any of the following options:

Online

• Read the instructions on how to send your referral to us confidentially over the Internet.
• Go directly to the online form.

Email

• Send your request by email:

  Email-Referral

Fax / Postal

• Read the instructions on how to print our referral form, then fax or mail it to us at:

  Laurel Rehabilitation Services
  Sentry Office Plaza
  Suite 702
  216 Haddon Avenue
  Westmont, NJ 08108
  Fax: 856-869-7364

• Go directly to the printable form.

Telephone

• Speak to one of our friendly customer service representatives by calling:

  856-869-7360