Hospital Pre-Registration and Insurance Information Form

Simplify Hospital Pre-Registration with Paperform

Hospital pre-registration forms are essential for reducing wait times, verifying insurance coverage, and ensuring accurate billing from day one. This Hospital Pre-Registration and Insurance Information Form template helps healthcare facilities, hospital admissions teams, and medical billing departments collect all necessary patient demographics, primary and secondary insurance details, and guarantor information before a patient's scheduled visit.

Built for Healthcare Teams Who Need Accuracy and Speed

Manual intake processes lead to data entry errors, insurance claim denials, and frustrated patients. With Paperform, you can create a professional, on-brand pre-registration experience that patients can complete from home on any device. Conditional logic automatically shows or hides secondary insurance and guarantor sections based on responses, making the form feel shorter and more intuitive.

Whether you're a hospital administrator, medical billing specialist, or patient access coordinator, this template reduces administrative workload while improving data quality. Capture everything from patient contact details and emergency contacts to detailed insurance information including policy numbers, group numbers, and subscriber relationships.

Automate What Comes Next with Stepper

Once a patient submits their pre-registration form, Stepper can automatically verify insurance eligibility, send confirmation emails, update your electronic health records (EHR) or practice management system, and alert the appropriate department that a new patient is ready to be scheduled. Connect to systems like Epic, Cerner, Athenahealth, or your custom billing software via API without writing a single line of code.

Why Healthcare Teams Choose Paperform

Paperform is SOC 2 Type II compliant and offers robust security features including data residency controls and advanced permissions, making it suitable for healthcare teams managing sensitive patient information. With native integrations to Google Sheets, Airtable, Slack, and thousands of tools via Stepper, Zapier, and webhooks, your pre-registration data flows seamlessly into your existing workflows.

This template is ideal for hospitals, outpatient surgery centers, specialty clinics, imaging centers, and any healthcare facility that needs to collect comprehensive insurance and demographic information before patient visits. Start streamlining your admissions process today.