Pre-Registering for Your Visit 
 
 
 
 
Your time is important. So, we have created a simple pre-registration process to help us obtain the necessary information prior to your arrival at our facility.

Online pre-registration through our secure website enables you to provide us with important information from the convenience of your home and at a time that is convenient for you. By pre-registering and completing the necessary paperwork in advance, your wait time can be significantly reduced when you arrive for your visit.

Pre-Registration Instructions
Simply follow the instructions below at least 48 hours before your scheduled appointment.

(*Note that all forms are in PDF formats. You may have difficulties opening the PDF file attachments below if you are using Internet Explorer 6.0 and an older version of Adobe Reader. If you do not have Adobe Reader installed on your computer or need the latest version to open the attachments, click here to download Acrobat Reader for free.) 

 

  1. Download, print, read and complete the Conditions of Service and Consent for Treatment form. Click here to download the Consent form.
  2. Gather the following documents to prepare for your pre-registration process.
    • Patient name, gender, date of birth and Social Security Number 
    • Patient contact information, such as phone numbers (home, work and mobile) and home address 
    • Driver’s license 
    • Financial information, including your insurance card, name of insured and secondary insurance information (if applicable) (*Please note that if you are private pay or uninsured and do not qualify for other financial assistance, you will be asked to pay an estimated bill in full on the day of service. If you need an alternate payment method, contact the hospital Financial Counselor prior to your visit at 770-228-2721, ext. 3157 between 8 a.m. and 5 p.m. Monday – Friday.)
    • Primary care physician contact information and referral 
    • Authorization or Pre-certification number from your insurance company 
    • Physician order (if available) 
  3. Pre-register for your visit. Click here to pre-register through a secure area of our website or you can call Registration at (770) 229-6049 Monday through Friday between 8:30 a.m. and 5 p.m.

For answers to frequently asked questions about Pre-Registration, please click here.

For more information on preparing for your visit, please click here.