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UniMed Center
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PATIENT PORTAL

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  • Internal Medicine
  • Medical Weight Loss
    • Weight Loss Medications
    • Lipotropic Injections
    • Meal Replacement
    • Diet and Nutrition
    • BMI Calculator
    • Cool Body Sculpting
  • Alternative Medicine
    • IV Therapy
    • Allergy Treatments
    • NAD plus IV Infusion
    • Diet Supplements
    • Platelet Rich Plasma Therapy
  • Clinical Studies
  • Beautification
    • Aquafacials
    • Botox® and Dermal Fillers
    • Cool Body Sculpting
    • Platelet Rich Plasma Therapy
    • Radiofrequency (RF) Microneedling
    • Thread Lift
  • Our Providers
    • Jenny Liu, MD
    • Bin Yang, MD
    • Jennifer Sun, LCC, OMD
    • Rosemarie E. Gozum, FNP
  • Patient Testimonials
    • Weight Loss Testimonials
    • Medical Patient Testimonials
    • IV Treatment Testimonials
    • IV Skin Whitening Testimonials
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Request an Appointment

Please do not use this form if you have an urgent medical problem or you need to reschedule an existing appointment. Instead, contact our office at (732) 828-9988. After you submit your request, our appointment scheduler will respond within 48 hours. See below for forms to complete.

 

Patient Registration Forms

UniMed Center in East Brunswick, New Jersey, welcomes you to our practice. Once you have made your initial appointment, you may preregister by downloading, printing, and completing the forms below. Doing so prior to your visit will help speed up the new patient registration process.

Please be sure to bring all forms with you to your first visit, along with any diagnostic films or other test results that may have been ordered or performed by another provider.

Downloadable Forms:

    • Patient Registration Form - e-fillable
    • Patient Registration Form

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.

UniMed Center - weight loss near me - weight loss clinic - internal medicine doctor - Lipotropic Injections - B12 Injections - IV Therapy near me - Acupuncture - Allergy Treatments - Dr. Jenny Liu - Dr. Bin Yang

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UniMed Center

East Brunswick, NJ 08816
Phone: (732) 828-9988  Fax: (732) 828-1010
Copyright © · address here · All Rights Reserved

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UniMed Center provides internal medicine, aesthetics, medical weight loss, and alternative medicine services to patients in East Brunswick, NJ, and surrounding areas.

  • Home
  • Internal Medicine
  • Medical Weight Loss
    • Weight Loss Medications
    • Lipotropic Injections
    • Meal Replacement
    • Diet and Nutrition
    • BMI Calculator
    • Cool Body Sculpting
    • Back
  • Alternative Medicine
    • IV Therapy
    • Allergy Treatments
    • NAD plus IV Infusion
    • Diet Supplements
    • Botox® and Dermal Fillers
    • Platelet Rich Plasma Therapy
    • Back
  • Clinical Studies
  • Beautification
    • Botox® and Dermal Fillers
    • Cool Body Sculpting
    • Platelet Rich Plasma Therapy
    • Back
  • Our Providers
    • Jenny Liu, MD
    • Bin Yang, MD
    • Jennifer Sun, LCC, OMD
    • Rosemarie E. Gozum, FNP
    • Back
  • Patient Testimonials
  • Insurance Information
  • Contact Us