St. Joseph's Chippewa Falls Patients & Guests Patient and Visitor Services Pre-registration
St Joseph's Chippewa Falls Patients and Guests Pre Register lady looking at laptop

Online Pre-Registration

Whether you are coming to HSHS St. Joseph’s Hospital in Chippewa Falls for outpatient tests, surgery or an inpatient stay, we do all we can to make the registration and admission process as simple as possible. HSHS St. Joseph's has your convenience in mind. We are pleased to offer online registration for those patients using HSHS St. Joseph's or one of our satellite locations for services.

Our online registration process will save you time upon arrival and allow you to move to your service area promptly. It also ensures we have the most accurate information for your visit. All information submitted on the registration form is completely confidential and secure.

The following items will help with the online registration process.

  • Name of physician who ordered procedure.

  • Date of scheduled procedure.

  • Personal, employment and contact information.

  • Insurance information. Please have your insurance card(s) available.

Complete the form below to preregister.
**Please remember on the day of appointment to bring with you all identifications, including a photo ID, insurance cards, co-payments, deductibles and referral, when applicable.

Personal Belongings

 

Limit belongings to essential items, which you will be responsible to secure during your hospital stay. Valuable items and money should be sent home if possible, or secured by the hospital upon request. HSHS St. Joseph’s Hospital in Chippewa Falls will not be responsible for lost or damaged items.

Today
Today
Type of Procedure:
Outpatient:
Inpatient:
Is this visit confidential? (If marked yes, St. Mary’s will not give any information to friends or family in regards to your stay.):
Visit due to an accident?:
Security: