Pre-Register for Your Visit

Save Time, Pre-Register Online

We aim to make the registration process as seamless as possible. That’s why we offer you a convenient online pre-registration to reduce the paperwork needed at the hospital. Simply fill out our pre-registration form online in advance of your non-emergency appointment at Cypress Fairbanks Medical Center Hospital. You can fill out your paperwork in the convenience of your home, at work or anywhere you have Internet access.

When you arrive for your visit, be sure to have your:

  • Photo ID
  • Insurance card
  • Doctor’s order (if any)
  • Referral (if required by your insurance carrier)

There may be some additional paperwork you’ll need to complete in person during admission. You may want to print a copy of your completed online admissions form and bring it with you.

Pre-Register Online

If you elect to electronically submit a completed ​pre-registration Form or any other information to Cypress Fairbanks Medical Center Hospital through this web site, you agree that you do so at your own choice and risk, and that you assume all responsibility for any liability arising from such electronic submission and from any errors or omissions in the data you provide. You agree to release and hold Cypress Fairbanks Medical Center Hospital and its affiliates (including its directors, officers, employees, shareholders, agents and representatives) harmless from any and all liability or cause of action arising from the interception, access or use by a third party of any information submitted electronically by you through this web site and from any errors or omissions in the data you provide. Additionally, the provision of any information to Cypress Fairbanks Medical Center by you through this web site, including a completed ​pre-registration Form, does not create or constitute any relationship between you and Cypress Fairbanks Medical Center Hospital, its affiliates, or any of the physicians on its staff, to which any privilege may attach.