Patient Info

Patient Pre-Registration

Pre-registering for your procedure shortens the admissions process and saves you time.

Unfortunately, forms submitted fewer than three days before the procedure, may not be processed before you arrive to be admitted.

 

All Patients

Complete the Online Pre-Registration Form.

Download the Consent Form. Please print this document, review, sign and initial where indicated. Then fax or mail this form, along with copies of both sides of your insurance card, to:


Northside Hospital Pre-Registration
1100 Johnson Ferry Road NE
Atlanta, Georgia, 30342

PHONE: (404) 459-1280
FAX: (404) 300-2333

To avoid confusion, please specify "Pre-Registration" when forwarding.

 

Frequently Asked Questions: Pre-Registration

 

Email Us

 

At Northside, we respect your privacy. For your protection, all information submitted online is encrypted while in transit. We will not use your information for any other purposes.