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Medical Care


Patients & Visitors




About Holy Name Medical Center About Holy Name Medical Center

Key Phone Numbers

  • Medical Center Operator

  • 201-833-3000

  • Physician Referral Service

  • 877-HOLY-NAME (465-9626)

  • Patient Information

  • 201-833-3300

  • Foundation (Donations)

  • 201-833-3187

  • Human Resources

  • 201-833-7040

  • Medical Staff Office

  • 201-833-3352

View All Department Contact Numbers

For general questions or comments, email info@holyname.org


Appointment Requests

For More Information:

201-833-3211
Cardiovascular Services

info@holyname.org

Patient Stories

Schedule a Cardiac Rehabilitation Therapy


Patient Information * Indicates required information
First Name: *



Last Name: *



Date of Birth: *

 
Email Address: *



Day Time Phone (M-F): *

- -
Clinical Information * Indicates required information
Referring Physician: *


Insurance Plan Name: *



Have you had a recent cardiac event? *

Yes       No

 
Do you have a prescription from your doctor? *

Yes       No

 
Comments or Questions:



 
Scheduling Preference Information * Indicates required information
 
Please note: This is to schedule your Initial Evaluation only. Weekly session scheduling options will be discussed during your first appointment.
 
Please indicate your appointment date and time preferences:

First Preference Day:

First Preference Time Range:

 
Second Preference Day:

Second Preference Time Range:

 
Third Preference Day:

Third Preference Time Range:

 
Please note: This online request form will not officially book your appointment at Holy Name Medical Center. You will receive a call back to schedule the actual date and time within 48 business hours from your request.