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Appointment Request

This service is not intended for emergencies. If you are experiencing a medical emergency call 911.

To request an appointment with a physician or for a test/procedure, please complete the form below. Please be advised after completion of this form, your appointment is not confirmed. A representative from CentraState will contact you within 48 business hours. 

  • You can also request an appointment with a physician by calling 866-CENTRA7 Monday - Friday, 8:30am - 4:30pm. 
  • You can schedule an appointment or pre-register for tests and procedures by calling 732-294-2778, Monday - Friday, 8am to 7pm.