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Patient Pre-registration Form

Thank you for choosing Oswego Health for your hospital admission (maternity) or outpatient procedure/surgery. We strive to make your experience as convenient and efficient as possible. The online pre-registration forms below enable us to obtain all necessary registration and insurance information prior to your arrival. Preserving the confidentiality of your personal information is important. These e-registration forms are secure, and the personal information you send to us through our web site will be kept confidential by our encryption technology. The online forms below are not for all visits to Oswego Health, including emergency visits. Anyone seeking emergency medical attention or general inpatient pre-registration will be registered at our hospitals upon arrival.

Fields marked with an asterisk (*) are required.

Primary insurance plan

Secondary insurance plan

Our Surgery Center is operated under Oswego Hospital and is billed as an outpatient hospital facility. Please contact your insurance plan for coverage and benefits for your scheduled procedure.

Please be advised that you may receive multiple bills for your service. In addition to the hospital services you may receive a bill for anesthesiology, pathology, radiology and your surgeon. You can find the list of our contracted physicians on our website.