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OB REGISTRATION FORM LAST MENSTRUAL PERIOD: DUE DATE: PATIENT INFORMATION Patient Name: Doctor: DOB: SS# Marital Status: Maiden Name Race: Religion: Primary Language: License/ID#: State: Exp Date:
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How to fill out pre-registration - emory healthcare

How to fill out pre-registration - Emory Healthcare:
01
Visit the Emory Healthcare website or call their pre-registration hotline to begin the process.
02
Provide your personal information, such as your name, date of birth, and contact information.
03
If you have insurance, you will need to provide your insurance information, including your policy number and group number.
04
You may be asked to provide the contact information of your primary care physician.
05
If applicable, provide your appointment details, including the date and time of your scheduled visit.
06
Review the pre-registration form for accuracy and make any necessary corrections.
07
Submit the pre-registration form and wait for confirmation from Emory Healthcare.
Who needs pre-registration - Emory Healthcare?
01
Patients who have scheduled an appointment at Emory Healthcare facilities.
02
Individuals who want to expedite the check-in process and reduce waiting times.
03
Patients who have insurance and want to ensure a smooth billing process.
04
New patients who are visiting Emory Healthcare for the first time.
05
Patients who have received a referral from a healthcare provider to seek treatment at Emory Healthcare.
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What is pre-registration - emory healthcare?
Pre-registration at Emory Healthcare is the process of providing your personal and insurance information before your scheduled appointment or procedure.
Who is required to file pre-registration - emory healthcare?
All patients scheduled for appointments or procedures at Emory Healthcare are required to complete pre-registration.
How to fill out pre-registration - emory healthcare?
You can fill out pre-registration forms online through the Emory Healthcare patient portal or by calling the registration department.
What is the purpose of pre-registration - emory healthcare?
The purpose of pre-registration at Emory Healthcare is to ensure that all necessary information is collected before your appointment or procedure, streamlining the check-in process.
What information must be reported on pre-registration - emory healthcare?
Information such as personal details, insurance information, medical history, and emergency contacts must be reported on pre-registration forms.
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