Pre-Register Online In Minutes
It's Quick. Convenient. Secure.

STEP 1:
Simply complete the 10-20 minute pre-registration form below at least two 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 items listed below on hand.

• Name of doctor who is admitting you to West Valley Medical Center
• Date of your scheduled procedure
• All insurance cards
• Employer information

STEP 2:
Check-in with our registration staff inside the Emergency Department main entrance, facing Logan Street, on the date of your scheduled service to complete final steps of the registration process. Please be advised that you will sign all consent forms during your hospital visit.

To expedite these final registration steps (and to meet the requirements of your insurance company, Medicare, and Medicaid), please bring the following items with you to the hospital:

• Valid state or federally issued photo ID like a driver's license, government ID or passport
• Your insurance card, including your policy number and billing address
• Your Social Security card
• A list of current medications and known allergies
• Any forms or papers given to you by your doctor
• A list of any previous surgeries and hospitalizations

If your healthcare is covered by a worker's compensation claim, please bring the accident date, insurance carrier, where to mail the claim and the name of your employer.

To begin online pre-registration now:
1. Enter the date of your scheduled procedure.
2. Click the Begin Pre-Registration button below to complete the pre-registration form.

If you have any questions regarding pre-registering online, please call (713) 791-7140 between 8 a.m. – 4:30 p.m., Monday – Friday. Or contact the Registration Department at West Valley Medical Center, (208) 455-3973. We look forward to serving you.