Online patient registration

Getting admitted to the hospital is quick and easy.

For your convenience, we offer an easy-to-use online registration form. Just click on the link below to get started. You will need all of your insurance information in order to complete the online registration process.

     » Begin online registration form

All information we receive will be kept private. The online form has the same privacy and security protection we use for all medical records. We take patient privacy seriously!

A normal online registration can take 15 minutes or less. With the exception of Maternity, this form is best utilized if your appointment is within the next 30 days. However this process is not intended for procedures less than 24 hours away.

If you need to register for a procedure that is less than a day away, or just prefer to register by phone, please call Admitting Services at 503-814-7737. Our office is open from 8 a.m. to 4 p.m.

Patient rights and other admission documents

The documents linked below explain some of your rights and responsibilities as a patient. You can print and sign them now (and bring them to the hospital with you) or wait and sign the copies we provide at the hospital.

English

• Conditions of Admission

• Patient rights and responsibilities

• Tricare

• An Important Message From Medicare About Your Rights

• Notice of Your Right to Decline Participation in Future Anonymous or Coded Genetic Research

• Fact Sheet for Health Care Consumers Genetic Privacy & Research

• Authorization for Use or Disclosure of Protected Health Information

• Information for surgery patients

• What to expect at discharge: Patient and Caregiver's Guide for Mental Health Treatment

• What to expect at discharge: Psychiatric Medical Center

• Discharge Planning for Patients Seen in the ED for Mental Health Treatment (policy)

• Oregon's support person law for patients and families

Español

• Condiciones para la admisión

• Derechos y responsabilidades de los pacientes

• Mensaje Importante De Medicare Sobre Sus Derechos

• Aviso del derecho a rehusar la participación en futuras investigaciones anónimas o investigaciones genéticas codificadas

• Hoja informativa para consumidores de servicios de la salud Investigaciones y privacidad genética

• Solicitud para Enmendar Información Protegida de la Salud

• Su cirugía en Salem Health

• Ley para personas de apoyo de Oregon para pacients y sus familias

Pусский

• Права и обязанности пациентов
• Ваша операция в больнице Salem Health
• Закон штата Орегон «Об услугах лиц, предоставляющих помощь пациентам и их семьям»