Pre-Register for Your Visit
For a seamless patient experience, submit your patient paperwork online before your visit to one of The Hospitals of Providence.
Save time. Register online.
Minimize your wait at the hospital by pre-registering 48 hours in advance of your non-emergency appointment. You can fill out your paperwork in the convenience of your home, at work or anywhere you have access to a computer. It’s a convenient way to prepare for your visit before you ever get to the hospital.
To get started, simply fill out the form below. When you include a valid email address, we’ll send you a confirmation email that we have received your paperwork. We’ll also let you know if we need additional information.
If you elect to electronically submit a completed pre-registration form or any other information to The Hospitals of Providence through this website, you agree that you do so at your own choice and risk, and that you assume all responsibility for any liability arising from such electronic submission and from any errors or omissions in the data you provide. You agree to release and hold The Hospitals of Providence and its affiliates (including its directors, officers, employees, shareholders, agents and representatives) harmless from any and all liability or cause of action arising from the interception, access or use by a third party of any information submitted electronically by you through this web site and from any errors or omissions in the data you provide. Additionally, the provision of any information to The Hospitals of Providence by you through this website, including a completed pre-registration form, does not create or constitute any relationship between you and The Hospitals of Providence, its affiliates, or any of the physicians on its staff, to which any privilege may attach.