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Now Offering IN-OFFICE & TELEMEDICINE Appointments

Barnabus Health Medical Group in Lyndhurst, NJ

Patient Forms

United Medical Welcomes You to Our Family
of Satisfied Patients

Once you have made your initial appointment, you may pre-register by completing our new patient forms online. Completing the forms prior to your visit will help speed up the new patient registration process. Also, please be sure to bring any diagnostic films or other test results that may have been ordered or performed by another physician.

If you should have any questions, please contact the office where your appointment is scheduled: Lyndhurst, Bayonne, or Clifton, New Jersey.

New patients will need to complete the following forms: 

Save Time, Register Online

Patient Registration Form

Health History Form

Patient Registration Packet

Pain Assessment Form

New Jersey Immunization Information System Consent to Participate