For More Information or To Schedule an Appointment or Register for a Group

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For a free phone consultation with Dr. Kahane, or if you are interested in getting more information or to schedule an appointment, please complete the form below.

*INSURANCE NOTE: We are an out-of-network provider. If you have out-of-network benefits coverage, we provide billing statements to submit to your insurance towards reimbursement.

Contact: office@thekahanecenter.com, 201-894-9011

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Your First & Last Name *

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If this appointment is for your self, please write "SELF" below. If it is for your child, please provide: Child's First & Last Name, Age, Grade, and School. *

I am interested in: (Check all that apply.) *

An Initial Consultation

Neuropsychological Evaluation

POWERS Parenting Groups (www.powersprogram.com)

POWERS 1:1 Individual Coaching (www.powersprogram.com)

Social Cognition Groups

I'm not sure and would like to speak with someone.

Other:

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How did you hear about us? (Please check all that apply.) *

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Doctor Referral (Please list referral name below.)

From a former or current TKC family (Please list referral name below.)

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If you were referred by another healthcare practitioner, please indicate their name and contact information.

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