Agency Service Request (ASR)

U.S. Highway 206 & Hills Drive

Monday-Friday 8am-8pm

Bedminster, New Jersey

Just minutes off of interstates 287 and 78

Sunday 9am-4pm

HOURS

Saturday 9am-5pm

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Covid-19 Testing

Travel Vaccines

Hepatitis A/B, Typhoid, Yellow Fever

Please call for details

Call Us Today!

(908) 781-7171

Patient's (Employee) Name *

Agency / Company Name *

Date and Time of Service (best to avoid early morning, late evening, and weekend hours) *

Authorized Service Requestor's Name *

Employee's Address *

Check box to have a confirming email with instructions sent to your employee.

Please contact our office at 908-781-7171 to make any changes to your reservation. Somerset Valley Urgent Care is located at the intersection of U.S. Highway 202-206 & Hills Drive in Bedminster. The office is in the Hills Village Shopping Center located near Kings, Starbucks and & CVS. Unfortunately, our mailing address geo-locates to the Bedminster Post Office, placing you a mile north of the office. Make certain to search for the intersection of "Hwy 202 & Hills Drive, Bedminster" when using a GPS. When using an application such as Google or Waze, please search for "Somerset Valley Urgent Care."

Please enter the agency/corporate related medical services you wish to schedule for your employee/member. Your agency/company will be invoiced based upon the agreed fee schedule after services are rendered.

Please, DO NOT enter any protected private medical information!

Other Requested Services (specify)

Employee's Confirmation Email Address (*required if checked above)

Employee's Date of Birth (DOB) *

Sex at Birth *

Male

Female

Requestor's Email Address (*required to receive a confirmation) *

Employee's Mobile Phone Number (needed to send the employee a text reminder) *

Agency Service Request (ASR)

* indicates required field

Just minutes off of interstates 287 and 78

Covid-19 Testing

Travel Vaccines

Call Us Today!

(908) 781-7171​

Somerset Valley Urgent Care

(908) 781-7171