Patients & Visitors
Online Pre-registration
Thank you for pre-registering for your hospital stay or procedure online! We hope this is a helpful, smooth process for you. If you need assistance, please note the contact phone numbers below.
Please complete this form at least three business days before the date of the appointment.
We respect your privacy and make every effort to ensure that the information you provide here is secure. We will not use the information in this form for any purpose other than pre-registration.
To complete online pre-registration, you will need:
- Insurance ID card information.
- Procedure date and time.
- Type of procedure (such as a mammogram or X-ray) and where it is scheduled.
- Personal contact information.
- First and last name of physician who ordered procedure.
To reach the online pre-registration page, please click on the below location where your procedure is scheduled. The six-page registration form takes an estimated 10 minutes to complete. (Please note that you will be directed to a separate, secure Web site, and the page will appear different from what you see now.)
If you require help with online pre-registration, you may call us at the following phone numbers and times:
Back to top