Intake Form
Jersey City: Holsman PT Rehabilitation P.C.
361 Montgomery St
Jersey City NJ 07302
Phone: 201-932-2656
Fax: 201-603-2454
Clinic hours: 9am to 8pm Monday to Friday, Saturday by appointment
Please complete the short intake form below. If you don't hear from us in an hour, kindly call 201-932-2656 to request and follow-up your appointment.