Welcome to Shelby Memorial Hospital’s On-line Patient Pre-registration center. We recognize that your time is valuable and our goal is to make sure that your experience with the registration process goes smoothly. By pre-registering for your visit, be it an in-patient hospital stay, day-surgery, an appointment in our imaging department or laboratory, pre-registration can save you time and it’s secure so you can have peace of mind that your information is being handled with care.
Simply click on the link below and you will be taken to our Online Patient Pre-Registration Form. Just fill out the form and submit it to us. You will receive a confirmation number once you submit your form as well as an email confirmation of your registration. Again, the process is completely secure and private. If you have any questions or need assistance at any time, please contact us at 217.774.6433 Ext. 5701.