Admitting and Online Pre-Registration

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Admitting and Online Pre-Registration

Welcome to the Community Hospital of San Bernardino Pre-Registration web page.

We want your registration experience to be positive. We encourage you to complete  the following pre-registration form,  so that you can save time and be better prepared for your visit to our facility.

Please note that to effectively process your pre-registration we must receive your completed form at least 48 hours prior to your scheduled procedure. If you have less than 48 hours before the time of your procedure you can pre-register by telephone by calling our Admitting and Registration Office at 909-806-1777.  Hours of operation are Monday through Friday, 8:00am - 4:30pm.

What You Will Need to Pre-Register Online
Before you begin the online pre-registration process, you will need:

  • Your insurance identification card
  • Procedure date and time
  • Type of procedure (such as a mammogram or X-ray)
  • Personal contact information

Additional Information:
By completing this form online, you are submitting your personal information to assist in your pre-registration prior to your arrival at our facility.  After you have submitted your online pre-registration form, you will be contacted by phone within 2 business days.

Please note that there will be forms that will require your signature when you arrive on the day of your procedure.
Our goal is to make your arrival at our facility as smooth as possible.

Click Here to Pre-Register Online.

Para ayuda en español, por favor llame al 909-806-1777 y nuestros consejeros financieros le devolverá la llamada dentro de 24 horas. Gracias

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© 2014 Dignity Health

Community Hospital of San Bernardino
1805 Medical Center Dr
San Bernardino, CA 92411
(909) 887-6333