Welcome to Carle Richland Memorial Hospital's online pre-registration form. Pre-registration online should be done at least 24 hours in advance of your hospital visit. You will still need to visit the Patient Access department when you come to the hospital in order to get your armband and any paperwork you need for your test, procedure or hospital stay. However, your time in the Admitting department will be shorter because all of your information has been obtained ahead of time on this form.
If you have any questions about this form or the online pre-registration process, please contact the CRMH Patient Access Department at (618) 392-1640. Thank you.