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
Authorization To Release Medical Records