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Admitting and Online Pre-Registration


We want your registration experience to be positive. 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 it 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 at 818.885.3528. Hours of operation are Monday through Friday, 5:00 a.m. until 8:00 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.

Use our form to Pre-Register Online.