Please note: These forms here are for pre-registration for hospital procedures only.
Pre-registering for your procedure shortens the admissions process and saves you time. Please keep in mind that forms submitted fewer than three days before the procedure, may not be processed before you arrive to be admitted.
All Hospital Patients
- Please complete the Online Pre-Registration Form
- Read the Pre-Admission Information
- All patients must sign our registration forms prior to admission. To expedite your admission experience, please download the forms here. Please print the documents, review, sign and initial where indicated. Then fax or mail the forms, along with copies
of both sides of your insurance cards, to:
1001 Summit Boulevard
Atlanta, Georgia, 30319
Phone: (404) 459-1280
Fax: (404) 300-2333
To avoid confusion, please title envelope 'AG真人视讯官网 Pre-Registration' when mailing with USPS to help us serve you better.
Frequently Asked Questions: Pre-Registration
At AG真人视讯, we respect your privacy. For your protection, all information submitted online is encrypted while in transit. We will not use your information for any other purposes.