Pre-Registration
To better serve you, Children's Hospital has developed a secure, online pre-registration form for your submission before you arrive. The form requires you to provide some standard information. The form should only be completed if you have a scheduled admission (only) to Children's Hospital. Please be prepared to present your most current insurance card when you come to the hospital.
Key areas of information for the online form include:
- Patient/Child information
- Information about the attending physician (specialist at Children's Hospital who will be performing the test/procedure)
- Information about the physician who has recommended that your child see the specialist
- Information about your Primary care physician (pediatrician or family doctor)
- Appointment Information/Chief complaint
- Payment Information/Insurance card information (it is recommended that you verify your benefits prior to the completion of this form and always bring your card with you to the hospital)
- Parent/Legal guardian information
- Emergency contact information
The registration form is within a secure area of the Web site which allows Children's to protect all your personal information.
If you have any questions about the form or the online pre-registration process please contact Patient Access at (614) 722-2210 or email us at: .
Answers to many questions regarding admitting and insurance are also available via the Admitting Questions link to the left.
