Online Pre-Registration takes approximately 10 minutes to complete. Please have your photo ID/insurance cards ready to upload, along with allergies, medications and previous surgeries. Progress will not be saved and must be completed at one time. You are not finished until you click "SUBMIT".
Pre-Registration is required to prepare our anesthesia and nursing staff to care for you during surgery. We appreciate your time in filling out this form. If you do not wish to Pre-Register online, you MUST call 256-560-2892 between 8:30am-4:30pm and Pre-Register on the phone with a nurse. We look forward to providing excellent care for you or your family.