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Same Team, Same Care, New Name. NJ Spine and Wellness is now Alliance Orthopedics! Learn More

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(201) 477-2780
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REQUEST APPOINTMENT

Let us help you get better faster!

Call Today: (201) 477-2780

For general inquiries, please complete the form below. If you are ready to see a doctor, please complete our appointment request form.

"*" indicates required fields

First Name*

Last Name*

Email*

Phone*

Location

Comments*

Terms*

I understand and agree that any information submitted will be forwarded to our office by email and not via a secure messaging system. This form should not be used to transmit private health information, and we disclaim all warranties with respect to the privacy and confidentiality of any information submitted through this form.*

Restore Function and Reduce Pain with World-Class Treatment

To Request an Appointment,
Fill Out the Form Below
or Call (201) 477-2780

"*" indicates required fields

First Name*

Last Name*

Email*

Phone*

I am a...*

Location*

Primary Area of Pain*

Reason for Visit (check all that apply)

Headache/Migraine

Headache/Migraine

Vertigo

Vertigo

Concussion

Concussion

Scoliosis

Scoliosis

Neurological Condition

Neurological Condition

Shoulder Pain

Shoulder Pain

Elbow Pain

Elbow Pain

Knee Pain

Knee Pain

Hip Pain

Hip Pain

Leg Pain

Leg Pain

Neck Pain

Neck Pain

Wrist/Hand Pain

Wrist/Hand Pain

Foot/Ankle Pain

Foot/Ankle Pain

Mid Back Pain

Mid Back Pain

Lower Back Pain - Sciatica

Lower Back Pain - Sciatica

Lower Back Pain - Axial

Lower Back Pain - Axial

Wellness (No Pain)

Wellness (No Pain)

Other Condition

Other Condition

Terms*

I acknowledge that information submitted through this form will be sent via email, which is not a secure messaging system. Please refrain from sharing private health information here as we disclaim all warranties with respect to the privacy and confidentiality of any information submitted through this form. This form is for appointment requests only. To confirm your appointment, a patient advocate will contact you for insurance details, coverage verification, and benefits discussion. No doctor's referral is needed for consultations or treatment. Please note we accept out-of-network payments from many commercial carriers, we are in-network with Medicare, and we do not accept Medicaid. By sharing your phone number, you agree to receive SMS from Alliance Orthopedics. Standard rates apply. For data handling details, visit here. We do not share your mobile info with third parties, except for text messaging originator opt-in data, which remains confidential.*

*In order to confirm an appointment, a patient advocate will reach out to you to gather your insurance information to verify your coverage and go over your benefits one-on-one.

**Please be aware this is an appointment request.

A doctor’s referral is not necessary to see our team for a consultation or to receive treatment.

We accept out of network payments from the commercial carriers, but we do not accept Medicaid.
Aetna, BCBS/Anthem, Cigna, Magnacare, GHI/Emblem, Horizon, Amerihealth, United Healthcare, Meritain, Medicare.

LOCATIONS:

Six Convenient Locations in New Jersey

Fair Lawn

Bloomfield

Freehold

East Brunswick

Matawan

Randolph

Old Bridge

Alliance Orthopedics, with offices in New Jersey, is a multidisciplinary practice focused on helping patients and their families get better faster.

The staff consists of highly trained and licensed professionals includes specialists in orthopedic surgery, sports medicine, pain management, chiropractic care, physical therapy, acupuncture, and occupational therapy.

Alliance Orthopedics speaks these languages: English, Hindi, Spanish, Mandarin, Hebrew, Korean & Russian.

Begin your journey to pain free today!

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