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Welcome to St. Joseph's Hospital and Medical Center's secure Internet registration form. We want your admission experience to be positive. By completing the following pre-admission form, you can save time and be better prepared for your visit at our facility. We recommend you complete this form, answering all questions at least 48 hours prior to your visit/procedure. All fields with an asterisk (*) are required as necessary information for our facility.
You may also call toll-free 1.800.730.5567 to pre-register Monday to Friday from 8:30 a.m. to 5:30 p.m.
For OB (Maternity) pre-registration, please complete the pre-admission form and enter your due date as the procedure date. If you have any questions regarding OB pre-registration you may call OB Admitting at 602.406.6585.
If you are unable to register on-line within 48 hours of your visit, the admitting representative will register you in person on your day of service at the hospital.
Copies of your picture ID (driver's license), as well as the front and back sides of your insurance cards are required for every registration. Please fax copies to 602.798.0342 within 48 hours prior to your visit to complete the on-line registration process. Please include the name of the patient and the date of their procedure at the top of each page.
Some Important Reminders:
St. Joseph's Hospital and Medical Center is currently contracted with: