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 St. Elizabeth's Hospital 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 Department at (618) 222-4639 option 2, or by email Support