Committed to providing the most convenient methods to fulfill your health care needs Conroe Regional Medical Center 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.
- Social Security Number
- Name of ordering physician
- Date of your scheduled procedure
- All insurance cards information
- Employer information
|Online Surgical Pre-Registration||Pre-Registration Link|
Your surgeon requested that you pre-register and upload your medical history through our One Medical Passport link. Please make sure that you have the following information available before beginning:
On behalf of your health care team we thank you for participating.
Prefer to register in person?
We want your registration process to go as smoothly as possible. That is why we have created a guide to help ease the process.
You will be required to sign the following:
- Consent for treatment
- Authorization to bill insurance
Please remember to bring with you at the time of registration the following items:
- Social Security Card
- All active insurance cards
- Picture ID
- If you have an Advance Directive such as a Living Will or Durable Power of Attorney for Healthcare, please bring it with you.