How to Make an Appointment
If you are a new patient, please have the following information available to schedule an appointment:
Patient’s Full Name
Date of Birth
Social Security Number
Name of Referring Physician
Prescription from Referring Physician (If Applicable)
All applicable records
Please print and fill out the attached PDF forms in order for your appointment to be secured. Please fax all documents to 201-678-9189.
Outpatient Consent Form
If you are having a consultation with the physician, all medical records should be brought to your visit with the below Patient History form filled out.
Patient History Form
To schedule an appointment or for further information regarding patient transport or consultations, please call: 551-996-2453
And/Or contact :
Alison Forte, Perinatal RN
Monday - Friday 8:00am - 4:00pm at 551-996-3360
Magdalena Pawlik, APN
Monday - Friday 8:00am - 4:00pm at 551-996-4938
For immediate transport of a patient to our facility please call 551-996-4447 (24 hours a day, 7 days a week).
All transports will be accepted in accordance to EMTALA regulations