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Pre-Register For Your Visit

St. Elizabeth Hospital Online Pre-Registration

  • Online Pre-registration is available for PC users who have Adobe Acrobat Reader® installed on their computers. Currently, online submission of forms is not available for Macintosh computer users.  Any computer that can read .pdf files may download the form, fill it in and submit it by either of the alternate methods listed below.
      
  • You may pre-register online if your visit is scheduled at least three (3) business days from today. 
      
  • If it is less than three (3) business days from your visit, please call 225-647-5046 to pre-register.
      
  • If your procedure does not require an appointment (i.e. lab work, EKG), you do not need to pre-register and you may come directly to the registration department.

OR

  • Fill in the form, print it, and drop it off at St. Elizabeth Hospital Admissions, Monday through Friday between 5 a.m. and 5 p.m. Patient registration is located on the first floor of the hospital near the patient entrance.

OR

Mail the form to: (at least 1 week prior to service)
St. Elizabeth Hospital Admissions
1125 West Highway 30
Gonzales, LA   70737

If you have any questions regarding the pre-registration form, please call 225-647-5046, Monday-Friday from 9 a.m. to 5 p.m., and we will be happy to assist you.

For your arrival at the hospital, please bring your: 

  • Insurance card(s) 
  • Driver's license or other form of picture identification 
  • Insurance referral, if it is required by your insurance carrier
  • Living Will, if you have one

Thank you for giving St. Elizabeth Hospital the opportunity to serve your healthcare needs.