Patient Pre-Registration

Our online pre-registration service is currently available only for patients planning to deliver their baby at Lakeview Medical Center. All other patient registrations must be done in person at the hospital.

When you have completed and submitted the pre-registration form, you will receive a response via e-mail. You may be contacted by our Admitting Department if there are any questions.

If you have any questions about the information listed below or the pre-registration form, please call Lakeview Medical Center’s Admitting Department and someone will be pleased to assist you.

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Patient Information:

(Fields marked with an *asterisk are required.)
Only alphabets, an apostrophe, dash and period are allowed.