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Online Hospital Registration

 

Thank you for using Dignity Health – St. Rose Dominican’s online registration to notify us of your visit. This process should only take 5 to 10 minutes.

 

What You Will Need

  • All Contact Information (patient, responsible party and emergency contacts)

  • All current Insurance Cards (including Medicare or Medicaid)

  • Date of Scheduled Visit, Date of Procedure or Expected Delivery Date of Your Baby

  • Family Information

  • Ordering Physician's First and Last Names

Please note that to effectively process your online hospital registration, we must receive the form at least 48 hours before your scheduled procedure.

If you have questions regarding registration or admitting, please call (702) 616-4560 for the Rose de Lima Campus, (702) 616-5003 for the Siena Campus or (702) 492-8004 for the San Martín Campus.

 

(Updated 101614)

   
   
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  Henderson NV 89052
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