Welcome to Sequoia Hospital's secure Internet registration form. We want your admission experience to be positive. By completing the following pre-admission form, you can save time and be better prepared for your visit at our facility. We recommend you complete this form, answering all questions at least 48 hours prior to your visit/procedure. All fields with an asterisk (*) are required as minimum necessary information for our facility.
If you do not have this information, please do not complete the on-line registration form. Instead, you may call (650) 367-5551 to pre-register Monday to Friday from 8:30 am to 6:00 pm If unable to register on-line within 48 hours of your visit, the admitting representative will register you in person on your day of service at the hospital. Copies of your picture ID (driver's license), as well as the front and back sides of your insurance cards are required for every registration. You may either bring them in with you, or you may fax copies to (650) 780-0532 within 48 hours prior to your visit to complete the on-line registration process. Please include the name of the patient and the date of their procedure at the top of each FAXED page.
Some Important Reminders:
- Follow your physician's instructions about when to come to the facility for testing/ registration.
- On the day of your procedure, leave valuables such as wallet, purse or jewelry at home, if possible.
- Bring in your driver's license/photo ID and all insurance cards if you were unable to fax them ahead of time.
- Any deductibles and co-pays will be collected at time of admission or prior to discharge.
- We accept all major credit cards, check, debit card and cash.
- You may wish to contact your insurance provider to determine whether you have a deductible or co-pay amount and how much it will be.
- The parent, legal guardian or person named as Power of Attorney must be present to sign consent forms if the patient is a minor or disabled.
- Finally, please bring a current copy of your Advance Directive if you have one.
Click here to enter pre-registration form.
Thank you for choosing Sequoia Hospital.