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Reference code:

Admitting


Our goal at Dominican Hospital is to make sure your registration process is efficient and easy.

Pre-Register Online

To pre-register, please start here by filling out this online form.

We want your registration experience to be as positive as possible. We encourage you to complete the pre-registration form, so that you can save time and be better prepared for your visit to our facility.

Please note that to effectively process your pre-registration we must receive your completed form at least 48 hours prior to your scheduled procedure. If you have less than 48 hours before the time of your procedure you can pre-register by calling our Admitting and Registration Office at 831.462.7703.  Hours of operation are Monday through Friday, 8 a.m. – 6 p.m.

What You Will Need To Pre-Register Online

Before you begin the online pre-registration process, you will need:

  • Your insurance identification card
  • Procedure date and time
  • Type of procedure (such as a mammogram or X-ray)
  • Personal contact information

Additional Information

By completing this form online, you are submitting your personal information to assist in your pre-registration prior to your arrival at our facility. After you have submitted your online pre-registration form, you will be contacted by phone within 2 business days.

Please note that there will be forms that will require your signature when you arrive on the day of your procedure. Our goal is to make your arrival at our facility as smooth as possible.

Learn More

For more information, please call the Admitting department at 831.462.7703.