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Welcome to our secure online patient pre-registration service.

For your convenience and to speed up your registration process, we offer secure, online pre-registration. This process should only take a few minutes. By pre-registering, we will verify your information so that most paperwork will be complete when you arrive.

Upon arrival at the hospital we will ask you to verify your pre-registration information and have you sign authorization forms. Please remember to bring your insurance card along with you so we can scan a copy for your file.

If you have any questions concerning the online pre-registration form, please call us at 321.841.0375

All information collected during the secured online preregistration process is protected for your privacy and confidentiality.

Winnie Palmer Hospital Pre-Registration