|
Thank you for choosing Methodist Healthcare. For your convenience, we offer online pre-registration for your hospital stay, outpatient procedure, Same Day Surgery appointment, and maternity visit. Please fill out the Online Pre-Registration Form at least two (2) full business days before your scheduled visit.
Please select one of the following choices to begin your pre-registration process:
-
Maternity - "Silver Stork" Pre-Registration for Delivery only.
-
-
-
Other - Hospital Admission, Other Services
How It Works
Before You Begin Registration
To complete your registration form, you will need several pieces of information, including personal information, employer and physician information and insurance plan/payment information.
-
Patient Information: name, address, phone number(s), Social Security number, date of birth
-
Patient Employer Information (if applicable): employer name, address, phone number
-
Alternate Contact Information: name, phone number(s) of contact person (preferably, someone who does not live at your address)
-
Your Physician Information: name of your primary care physician or family physician.
-
Insurance Information (if applicable): Insurance company name, address, subscriber’s name, Social Security number, policy ID number and Group ID number (this is information shown on the subscriber’s insurance card).
-
Financially Responsible Person information (name, address, Social Security number, date of birth, phone number(s), employer name and employer address)
-
Accident details (if the services you’ll be receiving are related to a recent accident): description of accident, including date of accident/injury, liability insurance company name, address and phone number.
|
On November 15, Methodist Le Bonheur Healthcare will become a Tennessee Tobacco-Free facility. Click here to learn more.
In the interest of improving the health of our community and serving as role models for healthy lifestyles, MLH has committed to implement a tobacco-free campus policy system-wide (no smoking is allowed inside the hospital or anywhere outside on MLH property).
This is part of a city-wide initiative involving nearly every hospital in our area, including Baptist, St. Francis, the MED, Delta Medical Center, Memphis Mental Health Institute, the VA Medical Center and Southern College of Optometry. St. Jude is also participating on its hospital campus.
|
Thank you for using Methodist Healthcare.
|