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Online Pre Registration Form - Medicare Patients
Online Pre Registration







Online Pre Registration

Online pre registration requires a minimum of 24 hours to process.

If you are covered by Medicare or Medicare Advantage please click here to access the pre registration form - - Medicare federal regulations requires specific questions be asked as part of the registration process.  

If you are covered by any other insurance (example: Aetna, Blue Cross, Cofinity, Health Plus, Medicaid or Medicaid HMO, McLaren, United Healthcare etc ) please click here to access the pre registration form.

A SPECIAL NOTE FOR MATERNITY PRE REGISTRATION:
If you are pregnant you need to pre register in person. There are multiple documents that need to be signed and witnessed by an admitting department staff member. Please go to the Admitting Department in the South Tower to complete the pre registration packet. You will need to be bring your drivers license or photo identification and insurance card with you.

 

 



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