Patient Pre-Registration

If your procedure has already been scheduled, you can speed up your registration process by pre-registering online. To begin the registration process, please click on the link below. This form needs to be completed at least two business days or 48 hours prior to admission or scheduled procedure.

If you are having a baby, you may pre-register online but you will need to complete your registration at our front desk. Someone from admitting will need to make a copy of your driver's license and insurance card. For questions regarding labor & delivery pre-registration, please call (432) 221-3283 or email

Please remember that upon your arrival at Midland Memorial Hospital you will be asked:

  • To verify your registration information
  • To present a copy of your insurance card
  • To pay any co-payments/deductibles prior to service
  • To sign authorization forms

* Denotes Required Field

Appointment Information