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We understand being admitted to the hospital can be scary and you don’t always know what to expect. We encourage you to complete our online pre-registration form in the comfort of your own home.

Pre-register online

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

Pre-Registration Online is currently available to patients scheduled for a surgical procedure and for expectant mothers who are scheduled to deliver their baby at Marian Regional Medical Center. This service is not yet available for other scheduled services such as CT's, MRIs, Pulmonary Function Tests, infusions/transfusions, Therapy Services (physical, speech or occupational) or for unscheduled outpatient procedures such as routine lab and x-ray.

Please note that to effectively process your pre-registration we must receive your completed form at least 72 hours prior to your scheduled procedure. If you have less than 72 hours before the time of your procedure you can pre-register by telephone by calling our Pre Registration Office at (805) 739-3962.  Hours of operation are Monday through Friday, 7 a.m. – 4 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
  • 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 online Pre-Registration is intended to expedite the registration process. Patients arriving for pre-registered services are required to stop by admitting to complete their registration. Please remember to bring a photo ID and insurance card(s) at that time.

Thank you for taking the time to pre-register online and for choosing Marian Regional Medical Center for your healthcare needs.

For any admitting questions, please contact our Admitting Department at (805) 739-3568.