Patient Pre-Registration

Our online pre-registration service is currently available only for patients planning to deliver their baby at  Marshfield Medical Center-Rice Lake. 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 Marshfield Medical Center-Rice Lake’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.