Welcome to the Marian Regional Medical Center Pre-Registration web page.
Our goal is to make your registration process a positive experience. We encourage you to complete the following pre-registration form in order to save time and be better prepared for your visit to our facility.
Pre-Registration Online is currently available to our patients scheduled for a surgical procedure and for expectant mothers who are scheduled to deliver their baby at Marian Regional Medical Center. This service is not yet available for other scheduled services such as CT's, MRIs, Pulmonary Function Tests, infusions/transfusions, Therapy Services (physical, speech or occupational) or for unscheduled outpatient procedures such as routine lab and x-ray.
Please note that to effectively process your pre-registration we must receive your completed form at least 72 hours prior to your scheduled procedure. If you have less than 72 hours before the time of your procedure you can pre-register by telephone by calling our Pre Registration Office at 805-739-3962. Hours of operation are Monday through Friday, 7am – 4pm
What You Will Need to Pre-Register Online
Before you begin the online pre-registration process, you will need:
- Your insurance identification card
- Procedure date and time
- Type of procedure (@ delivery; removal of gall bladder)
- Personal contact information
By completing this form online, you are submitting your personal information to assist in your pre-registration prior to your arrival at our facility. After you have submitted your online pre-registration form, you will be contacted by phone within 2 business days.
Please note Online Pre-Registration is intended to expedite the registration process. Patients arriving for pre-registered services are required to stop by Admitting to complete their registration. Please remember to bring a photo ID and insurance card(s) at that time.
Our goal is to make your arrival at our facility as smooth as possible.
Thank you for taking the time to pre-register online and for choosing Marian Regional Medical Center for your healthcare needs.
Click Here to Pre-Register Online.