Registration

What to bring with you during Registration:


Registration Information
  • Insurance Information
  • Doctor Order/Doctor’s Name
  • Picture ID (Driver's License)
  • Social Security Number
  • Emergency Contact Information
  • Registration form
Insurance Information
  • Insurance Identification Card
  • Medicare Card
  • Medicaid Card
  • Share of Cost form
  • Every Woman Matters form
  • Medically Handicapped Program Letter
Liability Information
  • Worker's Compensation
  • Employer's address
  • Auto/Liability Information
  • Date and time of accident
  • Attorney representing case