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Valley Regional Medical Center
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Online Pre-Registration

Committed to providing the most convenient methods to fulfill your health care needs Valley Regional Medical Center offers Online Pre-Registration and Mammogram Scheduling.

Simply complete the 10-20 minute Online Pre-Registration and Mammogram Scheduling forms at least three (3) business days prior to your scheduled appointment. For privacy reasons, if you leave your computer idle for more than 20 minutes, your form will not be saved and you will have to begin again.

Before you begin, be sure you have all of the information listed below.

  • Social Security Number
  • Name of ordering physician
  • Date of your scheduled procedure
  • All insurance cards information
  • Employer information

Check-in with our registration staff on the date of your scheduled service to complete the registration process. Please be advised that you will sign all consent formsduring your visit.