Pre-Registration Form
Select the Hospital of your visit:


  • All maternity patients should complete this online form at least four weeks prior to delivery.
  • Nonmaternity patients with a scheduled procedure date should complete it at least three days prior to admission.
  • If your admission is not yet scheduled, please contact your physician to arrange a procedure date and time, then return to this Web site to complete your online pre-registration.
  • If your nonmaternity procedure is scheduled within three (3) days from today, please call 1-877-PRE-ADMT or 1-877-773-2368 (press 2) between the hours of 8:00 a.m. and 8:00 p.m.
  • If you complete the form within 24 hours of your registration, you may experience a delay at the time of registration.

    I understand that any information submitted to Texas Health Resources (THR) on this Web site is encrypted and will be used by the appropriate facility only for registration or medical records. Use of the information will follow all federal and state laws and regulations related to medical record privacy. I understand that I voluntarily submit information here and that I also have the option to complete registration in person at the appropriate THR facility.
    IMPORTANT NOTICE: If your admission is not yet scheduled, please contact your physician to arrange a procedure date and time, then return to this Web site to complete your online pre-registration.

    Click the Accept button to agree and accept the above statements.



    It may take up to 48 hours for your online registration to be processed into the hospital database,
    after which you may be contacted for further information and/or financial obligation.


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