Licking Memorial Health Systems - Measurably different...for your health
Patients & Visitors > Before You Arrive > Pre-Registration
Pre-Registration

Thank you for choosing Licking Memorial Hospital for your healthcare needs. The specifics of your visit will vary based on the service requested, please check with your physician for details regarding your treatment. All visits with the physicians are scheduled. Please call the phone numbers listed on the webpage of the service you are requesting, or use our convenient online secure email to request an appointment. If you have not yet signed up for secure health services through our website, contact your physician’s office and the staff will help you get started with online services.
 
Our physicians allow time in their daily appointment schedule for urgent or emergency visits. We feel the patient’s time is as valuable as our own, so our entire staff makes every effort to stay on time. To help us do this, please make sure you arrive several minutes early for your appointment.
 
If you cannot keep your appointment, please notify your physician at least 24 hours in advance so that we can accommodate other patients with health care needs. Patients may be charged a missed appointment fee of $20 for appointments that are missed or not cancelled in a timely manner.
 
Important information to note:
  • Please bring your insurance/medical card and a photo ID (driver's license or government ID, etc.) with you so that we can make a copy for your record.
  • Leave all valuables at home.
  • If time permits, you may receive paperwork through the mail – please complete it and bring it with you on your first visit (varies based on the service you are receiving).
  • It is your responsibility to check with your insurance company about any possible deductible amounts or co-payments for which you may be accountable.
  • Bring a list of your medications, including name, dose, how taken, and how often, or bring your medications with you for the nurse to review. 
  • You are welcome to bring someone with you on your visit.
  • Please arrive before your appointment time, as you may need to complete additional paperwork. Exact time varies based on the service being provided, please check with your physician.
  • You will be given specific instructions on medication management including prescription refills, if medications are prescribed for you.
  • You will be given home instructions and a follow-up appointment may be made if necessary.
 
For your convenience, this online form will be used to pre-register you for your upcoming services at Licking Memorial Hospital. Services you can pre-register for include surgeries, admissions, outpatient procedures/tests and maternity services. 
 
In order to assure we are able to complete the pre-registration process prior to your arrival, this form must be completed at least three business days prior to your scheduled appointment. Business days are defined as Monday through Friday. Maternity patients can pre-register up to three months prior to their expected delivery date. A registrar may contact you to validate or obtain any additional needed information.