Online Hospital Pre-Registration and Mammogram Scheduling
Committed to providing the most convenient methods to fulfill your health care needs, Terre Haute Regional Hospital offers Online Pre-Registration and Mammogram Scheduling.
Simply complete the 10-20 minute Online Pre-Registration and Mammogram Scheduling forms at least three (3) 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.
Before you begin, be sure you have all of the information listed below:
- Name of ordering physician
- Date of your scheduled procedure
- All insurance cards information
- Employer information
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.
- Patient Portal
- Affordable Care Act Facts and Information
- Education & Events
- Gift Shop
- Maps & Directions
- My Visit
- Online Pre-Registration
- Patient E-mail Service
- Patient Registration
- Pay Bill Online
- Phone Directory
- Request for Medical Records
- Patient Rights & Responsibilities and Patient Visitation Rights