St. Joseph Hospital

Proceed to the pre-registration form now.

For your convenience, St. Joseph Hospital offers secure online pre-registration for your hospital stay. Simply complete the form below at least 24 hours before your scheduled admission. This will save you time on the day you arrive. If your admission time is less than 24 hours away, please contact the Pre-Registration Department to speak with one of our representatives.

What you will need to pre-register:

• Your name, address, phone number
• Emergency contact information
• Insurance information
• Ordering doctor and primary care doctor
• What date you will be arriving for services
• What type of visit, procedure, or test

Pre-Registration Form

• Make sure all required fields (*) are filled in.
• If a required field does not apply to you, type in "NA" or "Not Applicable."
• Fill in as many fields as possible so we can best prepare your registration.