• The Internet form must be completed at least one full business day in advance of the desired testing date.
• Please have your physician order and insurance cards available for reference during this process.
• Please check with your insurance company regarding whether a co-pay is required for this service. Any applicable co-pay is due at the time of service.
• Please allow 5 - 15 minutes to complete this form. Required fields will be marked with a red asterisk: *

Scheduled Appointments:
Certain tests may require an appointment scheduled by the appropriate department. Internet Pre-Registration may be completed once the appointment has been made with the individual department.

For questions concerning scheduled appointments or any part of the Internet process, call 243-3011 between the hours of 8:00 AM and 5:00 PM.

To pre-register an account online, each patient needs their own unique email address. If each patient does not have their own email, there are multiple free services where an email can be created such as Google Gmail, Microsoft Outlook.com, Yahoo Mail, Apple iCloud and others. Please refer to each email provider for instructions on setting up an account.