Our goal at Mercy Mt. Shasta is to make sure your registration process is efficient and easy.
Please complete the pre-registration form
to save time and be better prepared for your time here.
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 telephone by calling our Admitting and Registration Office.
What You Will Need to Pre-Register Online:
- Your insurance identification card
- Procedure date and time
- Type of procedure
- Personal contact 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 always to make your arrival at our hospital as smooth as possible.
Learn More About Mercy Mt. Shasta Admitting & Registration
For more information, please call (877) 661-2713
. To find a doctor, call (866) 473-6687
or use our online Find a Doctor