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Pre-Admission Registration

Thank you for choosing Jackson Hospital for your healthcare. Even before you arrive, our staff is preparing for your visit and we hope that your stay will be as comfortable and pleasant as possible!

Pre-admission registration allows you to fill out basic information ahead of time and saves you time the day of your procedure. During pre-admission registration, take note of the following items:

  • Co-payments for your procedure. Check with your insurance provider to fully understand financial responsibility.
  • Bring important documentation such as your insurance card.
  • Confirm your appointment time. Familiarize yourself with parking and where to go once you arrive.
  • Ask questions. Call pre-admission registration to ask any questions you may have prior to your procedure.

If you have any questions regarding pre-admission registration on, please call 334-293-8842. Our team is available to assist you Monday-Friday from 8:00am - 4:30pm.

Please note: Your electronic signature meets the requirements for giving authorization/consent for care, services and treatment.

OB Pre-Admission Registration

OB Pre-Admission Registration Form

If you have any questions, please call our pre-admitting office at 334-293-8600, option 3.

Surgery Pre-Admission Registration

Surgery Pre-Admission Registration Form

If you have any questions, please call Central Registration at 334-293-8842.