Online Patient Pre-Registration
HSHS St. Elizabeth's Hospital has your convenience in mind. We are pleased to offer online pre-registration for those
patients using HSHS St. Elizabeth's or one of our satellite locations for services.

Our online pre-registration process will save you time upon arrival and allow you to move to your
service area promptly. It also ensures we have the most accurate information for your visit.

All information submitted on the pre-registration form is completely confidential and secure.

The following items will help with the online pre-registration process.
  • Name of physician who ordered procedure.
  • Date of scheduled procedure.
  • Personal, employment and contact information.
  • Insurance information. Please have your insurance card(s) available.
If you have any questions, please contact the Pre-Registration Dept. at (618) 641-5868
or by email

Click below to begin online pre-registration