Intensive Therapeutics

Helping Hands Registration

Summer, Fall, & Winter Sessions

View Summer Helping Hands page.
View Fall Helping Hands page.
View Winter Helping Hands page.

Privacy is very important to us. No information sent to Intensive Therapeutics will in any way be distributed or shared without your acknowledgement and consent.

Instructions to complete registration forms:

  1. Complete the Contact, Registration, and Medical information below and submit.
  2. Complete and sign the following two (2) consent forms:
    Informed Consent for Therapy Programs Form
    Video/Photo Release Form
  3. Consent forms can either be uploaded at the end of this form, mailed to:
    Intensive Therapeutics, Inc.
    31 Fairfield Avenue
    West Caldwell, NJ 07006

    emailed to:
    *Forms must be completed, signed, and received at least one month prior to program start.

Registration Information


Program Information

(Once you select a program, session options will appear.)
Would you like your child to participate in “Pizza Fridays”? *

Contact Information


Medical Information

Family Goals

Consent Forms

Please upload completed Informed Consent and Video/Photo Permission forms here. *
Maximum upload size: 104.86MB