Novus Services Request

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Select a service
Request an Appointment
Name*

First NameLast Name
Birthday*

MonthDayYear
Date
Email
example@example.com
Phone Number*
Please enter a valid phone number.
Preferred Location *
How did you hear about us?*

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Attention! The phones at our Bethlehem office are currently offline. We will be in contact as soon as possible. Thank you!
I hereby consent to receive SMS/text messages from Novus Medical Services for the purpose of receiving appointment reminders and related communications. I understand that this is not a condition for receiving medical services. I acknowledge that standard text messaging rates may apply as per my service provider. If I do not wish to receive SMS/text messages, I understand that I can reply "STOP" at anytime to the message system to end all reminders and communications. Please contact the office via telephone if you decline this section to make your appointment request.*

I agree to SMS/Text messaging, and understand that I may reply "STOP" to a SMS/Text message at anytime to end enrollment.
Would you like to try out an online appointment selector for the Bethlehem office? (If you need to be seen urgently please answer no.)*

YesNo
Do you have symptoms of a STI or have you been exposure to a partner who has been recently diagnosed with a STI?*

YesNo
Please select the service(s) you are seeking:*
Bethlehem Office Appointment Selector
1. You have to enter an email address so the computer can save your appointment and email you a reminder. (sorry, there will be many reminders, promise we'll work on that one!)
2. We'll send you a text message to confirm the appointment.
3. If you need an appointment sooner than you see listed, please call the office at 610-867-5365.
Thanks!
Appt Email*
example@example.com
Bethlehem Office Appointment Selector*
What is your preferred language?*

EnglishSpanishOther
Important Info: Appointment requests are processed Monday through Friday. If you require PEP Treatment and it is after our business hours, you should go to the nearest emergency room. PEP Treatment must begin within 72 hours of HIV exposure.
We'll redirect you to our healthcare portal after you hit submit. You can preregister your chart if you are new to us, so we can make sure we have all the right info!

Thanks
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Request an Appointment