Appointment Request

You can stay connected with PedEmerge 24/7 by simply filling out the form below and letting us know your preferred date and time or call us at (732) 972-7337. We make every attempt to be as responsive to your scheduling needs as possible.  Once we hear from you, one of our professionals will contact you promptly to confirm the date and time of your appointment.

Your requested appointment time slot is not guaranteed unless it is confirmed by our office staff.

In the Notes For The Doctor section, please include the following information:
-Child's Name
-Type of appointment requested (sick, well, shot, or consult)