Request For Service
You may submit a request for service using any of the following options:
Online Request Form
Fax / Postal
Read the instructions on how to print our referral form, then fax or mail it to us at:
Laurel Rehabilitation Services, Inc.
216 Haddon Avenue - Suite 702
Westmont, NJ 08108
Fax: (856) 869-7364
* Go directly to the printable form.
Speak to one of our friendly customer service representatives by calling (856) 869-7360