Los Robles Regional Medical Center Online Pre-Registration

Who can Pre-Register Online?

  • Patients with a procedure or surgery already scheduled
  • OB Patients who would like to pre-register for labor and delivery

How to Pre-Register Online

  • Complete the 10-20 minute Online Pre-Registration form at least two business days prior to your scheduled appointment.
  • For privacy reasons, if you leave your computer idle for more than 20 minutes, your form will not be saved and you will have to begin again.
  • Check-in with our registration staff on the date of your scheduled service to complete the registration process. Please be advised that you will sign all consent forms during your visit.

Before you begin, be sure you have all of the items listed below on hand:

  • Social Security Number
  • Name of ordering physician
  • Date of your scheduled procedure
  • All insurance card(s) information
  • Employer information

Prefer to register in person?

We want your registration process to go as smoothly as possible. That is why we have created a guide to help ease the process.

You will be required to sign the following:

  • Consent for treatment
  • Authorization to bill insurance

Please remember to bring with you at the time of registration the following items:

  • Social Security Card
  • All active insurance cards
  • Picture ID
  • If you have an Advance Directive such as a Living Will or Durable Power of Attorney for Healthcare, please bring it with you.

Our Gallup Patient Survey

We're always looking for ways to make our systems and procedures more patient friendly and efficient. That's why we contract with the renowned Gallup Research Corp to survey our patients about their experience with us. While we don't survey all of our patients, you may receive a phone call from a Gallup surveyor, who is representing Los Robles Hospital. Please know that your information is held in strictest confidence. If you receive a phone call, we'd like to thank you in advance for your participation in the survey.