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Providence Patient Pre-registration

 

If you have symptoms that could be life threatening, call 911 or go to the Emergency Room immediately.

Online pre-registration is designed for patients of Providence Alaska Medical Center and Providence Imaging Center who want to save time when they arrive for an appointment. The information requested is the same information that will be required upon arrival the day of the procedure.

About Your Privacy
Providence is required by law to maintain the privacy of your medical information. We are also required to notify you of our legal duties and privacy practices regarding your medical information.

All information submitted to our Web site using our forms is encrypted for transmission using Secure Socket Layer (SSL) protocol and 128-bit encryption. If your Web browser does not currently support this security protocol, you will be prompted to update your security and presented with a link to a site where you may obtain the necessary plug-in at no charge. SSL is used for transmitting personal demographic information, personal health information and credit card Information. More about your privacy.

If you will be admitted within the next 48 hours, you must call (907) 261-3149 during normal business hours to pre-register by phone. If you are scheduled for a procedure on a Monday, you cannot pre-register online or by phone after 5:00 pm on Friday. You will need to pre-register when you arrive, so please plan for the additional time.

If you have any questions or need clarification on any of the requested information please call (907) 261-3149.

I have read and agree to the terms above regarding my privacy.