Pre-registration is available on-line for maternity, mammography and outpatient lab at any time of the day or night. Patients who pre-register will be asked to verify their information when they arrive, sign consent forms, provide copies of their insurance cards and ID and make any necessary payments. Pre-registered patients should report to the designated pre-registration area, to the right of the information desk.
Please remember to bring all insurance and medical cards, as well as any written orders given to you by your physician, with you on your visit to our hospital. In order to complete the on-line registration, please have the following items available: insurance Information (if insured) and Social Security Numbers for the Patient and/or the primary on the insurance plan.
You may be contacted if there are questions about your information, or asked for further information upon your arrival.
Thank you for using our online pre-registration. If you have questions or concerns regarding the registration process, or if you need to make changes to your submission, please contact us at (812) 949-5942.
Registrations can only be accepted for appointments on Thu, Jun 30 2016 16:06:13 EDT or later
* To pre-register for mammography you must have an appointment scheduled
All fields are required, except for fields marked as optional.