Registration
At Gulf Coast Medical Center, we understand your time is valuable. That’s why we’ve added Online Pre-Registration and Mammogram Scheduling to our menu of Registration options.
If you prefer to use Online Pre-Registration and Mammogram Scheduling, follow the instructions on the box below. 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
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.
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 forms during your visit.
If you prefer to Pre-Register via mail or fax, click here.