Request an Appointment
Union Square Medical Associates in Elizabeth, New Jersey welcomes you to our family of satisfied patients. To schedule an appointment, please call us at (908) 352-9556 or (908) 282-6474 or request an appointment using our interactive appointment request form below. Our appointment scheduler will respond to your request within 48 hours.
Be sure to bring any diagnostic films or other test results that may have been ordered or performed by another physician.
Once you have made your initial appointment, you may pre-register by downloading, printing, and completing the forms below. Please be sure to bring them with you to your first visit. Completing the forms prior to your visit will help speed up the new patient registration process.
- New Patient Registration Packet
- Authorization for medical treatment
- Patient Consent Form
- Patient Contact Information
- Living Will
Please note: It may take a few minutes to load the forms if you are using a slow internet connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below.
Appointment Request Form
Please do not use this form if you have an urgent medical problem or you need to re-schedule an existing appointment. Instead, please contact our office at (908) 352-9556 or (908) 282-6474.