UOA will close early on Friday, April 12th at 2:30pm for an off site function.

Patient Forms

To save time during your office visit, we suggest filling out paperwork in advance. Please click on the appropriate forms to download, fill out electronically and print. You may also fill them out by hand if you choose. Bring the completed forms with you to your appointment. If you prefer to fill out registration forms at our office, please arrive 15 minutes before your appointment.

Patient Packet

New patients should download the patient packet rather than individual forms unless otherwise directed by our staff.

Download Patient Packet

Download No Fault Patient Packet

Changes to Your Basic Information

Automobile Accident Injuries

Appeal Authorization

Request Copies of Your Medical Records

Authorization Release Form

**For records requests only
Send forms to:
Fax: 732-564-9026

Attn: Medical Records

2 Worlds Fair Dr.
Somerset, NJ 08873

Please allow 3-5 days to process requests.

UOA is partnering with Healthmark to facilitate medical record requests.