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Save Time by Pre-Registering

Your time and convenience are important to us. If you have a procedure scheduled at Um Health-West Hospital, using this pre-registration form will speed up the registration process.

If you have any questions regarding this form, please contact Pre-Arrival at 616.252.4463.

Please note:

  • Complete pre-registration at least 24 hours prior to your visit. For your privacy, all information will be sent over a secure connection.
  • Upon arrival, patients who use this form need to check in at Registration/Admissions to finalize registration.
  • Please bring the following items:
    • Your insurance cards and photo I.D.
    • Any paperwork from your physician
    • Any forms from your insurance provider

UM Health-West Hospital Staff may need to contact you in advance of your scheduled procedure to obtain or provide additional information.

Please read the following important disclosure statement before pre-registration.

To view PDF files you’ll need to download the free Adobe Acrobat Reader.

This form will take approximately 5 minutes to complete. You will need your insurance card and the patient’s Social Security number in order to complete the pre-registration process.