If you would like to request an appointment via our online scheduling service please use the form below. All fields marked with an asterisk (*) are mandatory and must be completed in order for your request to be submitted. Hackensack University Medical Center Scheduling Coordinators receive all internet inquiries and place return phone calls between 8:30 a.m. and 4:30 p.m., Monday through Friday.

HackensackUMC considers the information you provide confidential and we do not share it with any third parties.

You will receive an e-mail confirmation that HackensackUMC received your request and is processing it.

Please note: some tests may require a physician's prescription. For these, you need to bring the prescription with you on the day of your appointment. Please contact your doctor directly if you have any questions about the prescription(s) for your test(s). Some procedures require pre-authorization from your health insurance carrier. Please check with your insurance provider.

If you have any questions about this form, or prefer to make an appointment by telephone, please call:
Pre-Admission Testing (PAT): 551-996-2099

Thank you for choosing Hackensack University Medical Center and we look forward to providing you with the highest quality healthcare.

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