*First Name 名 *Last Name 姓 Email 電郵 *Phone 電話 *Address 街道地址 *City 城鎮 *State 州 *State 州 Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington, DC West Virginia Wisconsin Wyoming *Zip 郵編 Gender 性別 Female 女Male 男Other 其他 *Preferred Location 選擇醫院地點 *Preferred Location Hamilton, NJ - RWJ University Hospital Lakewood, NJ - Monmouth Medical Center Southern Campus Long Branch, NJ - Monmouth Medical Center New Brunswick, NJ - RWJ University Hospital Somerville, NJ - RWJ University Hospital What specialty or treatment do you need? 你需要看哪種專科醫生？或需要什麼樣的檢查？ Specialties Specialties 各種專科: Cardiology 心臟專科Endocrinology 內分泌/糖尿病專科ENT/Otolaryngology 耳鼻喉專科Family Medicine 家庭醫學科Gastroenterology 腸胃專科General Surgery 手術專科Geriatrics 老年專科Hematology 血液專科Neurology 神經內科/外科OB/Gynecology 婦產科Oncology 癌症專科Ophthalmology 眼科Orthopedics 骨科Pain Management 痛症專科Pediatrics 兒科Pulmonology 肺科Sleep Study 睡眠專科Urology 泌尿科Vascular Care 血管專科Other 其他 SpecialtiesOther Radiology/Imaging 各種檢查: Barium Swallow 吞鋇測試Biopsy 活檢Bone Density 骨密度Bone Scan 骨骼掃描Cardiac Stress Test 心臟壓力測試Chemotherapy 化療CT 電腦斷層掃描Echocardiogram 心電超聲波Hearing Test 聽力測試Low Dose CT Scan 低劑量電腦斷層掃描Mammogram 乳房年檢MRI 核磁共振Nuclear Medicine 核子影像掃描PET 正子造影掃描Radiation 放療Sleep Study 睡眠研究Ultrasound 超聲波X-Ray X光Other 其他 RadiologyOther How can we help you? 我們怎樣可以幫助您? (English/中文) Check the box below if you are not a robot.