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End of Life Option Act
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Modernization and Expansion
Physician Mentoring Program
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Legal and Privacy Notices
We want your registration experience to be positive. We encourage you to complete the following pre-registration form, so that you can save time and be better prepared for your visit to our facility.
To register online, please click here.
Online registration is currently available to our patients scheduled for:
Online registration is not yet available for:
Please note that to effectively process your pre-registration we must receive your completed form at least 72 hours prior to your scheduled procedure or expected delivery date. If you have less than 72 hours before the time of your procedure you can pre-register in person in our Admitting Department. The hours of operation for in-person pre-registration are Monday through Friday, 6:30 a.m. - 4:30 p.m.
Before you begin the online pre-registration process, you will need:
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 or e-mail within 2 business days to confirm receipt of your on-line pre-registration.
Please note, this on-line pre-registration is to help expedite the registration process. There are forms you will be required to sign when you check-in at Admitting on the day of your procedure or delivery that will complete the registration process. Please remember to bring your photo identification and insurance card(s) with you.
Our goal is to make your arrival at our facility as smooth as possible. Thank you for taking the time to pre-register on-line and for choosing French Hospital Medical Center. For further information, please call: