COVID-19 For more information on COVID-19, visitor restrictions, and vaccine updates, click here. Patient Portals Request an Outpatient Test IN THIS SECTION Complete the form below and click the SUBMIT button to submit an online appointment request. We will contact you to schedule your appointment by the next business day (or Monday if you make your request late Friday or over the weekend). Online appointment requests are only available for select tests at this time. If your test is not listed, please call Central Scheduling at 609-394-6695 to schedule your appointment. PLEASE NOTE: This form is not to be used to make an appointment at our Capital Health Medical Group doctors offices. Please contact the offices directly to schedule appointments. Name First Last Date of birth Insurance Plan Insurance ID number Type of test - None - Phone number you can be reached at Home phone number Work phone number Best Time to reach you Monday 8:00am-11:00am Monday 11:00am-2:00pm Monday 2:00pm-5:30pm Tuesday 8:00am-11:00am Tuesday 11:00am-2:00pm Tuesday 2:00pm-5:30pm Wednesday 8:00am-11:00am Wednesday 11:00am-2:00pm Wednesday 2:00pm-5:30pm Thursday 8:00am-11:00am Thursday 11:00am-2:00pm Thursday 2:00pm-5:30pm Friday 8:00am-11:00am Friday 11:00am-2:00pm Friday 2:00pm-5:30pm Physician Name Preferred language - Select - Additional Information that you would like to provide us CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Math question 18 + 1 = Solve this simple math problem and enter the result. E.g. for 1+3, enter 4. Latest News Upcoming Events Capital Health Earns National Distinction as a Top Performer in Patient Experience Capital Health Medical Center – Hopewell has been named a 2021 Guardian of Excellence Award® winner by Press Ganey, the national leader in health care consumer and workforce engagement. Press Ganey recognizes Capital Health as a top-performing health care organization achieving the 95th percentile or above for performance in patient experience. Capital Health Medical Group Introduces New Primary Care Office in West Windsor, Expands Access to Medical Care in Greater Mercer and Middlesex Counties Capital Health Medical Group, a network of more than 500 physicians and other clinicians who offer primary and specialty care, has opened a new primary care office in West Windsor. The office is new in addition to the new primary care office that opened only a few weeks ago in nearby East Windsor. Capital Health Joins the HHS Perinatal Improvement Collaborative to Improve Outcomes for Mothers and Babies Capital Health Medical Center – Hopewell is participating in the U.S. Department of Health and Human Services (HHS) Perinatal Improvement Collaborative, a large-scale, data-driven collaborative of 200+ leading hospitals caring for diverse populations in all 50 states. View All News For Medical Professionals For Patients & Visitors Resources Connect With Us! © 2021 Capital Health. All rights reserved. Capital Health is a 501(c)(3) organization. Privacy Policy Terms of Use