Online Pre-Registration

Thank you for choosing to Pre-Register with Southern Tennessee Medical Center. We look forward to serving you on your upcoming visit to our facility.

To help ease the process of registering, we ask that you complete the questionnaire and Consent for Services form and return it. By doing so, it will ensure that we have the correct information, therefore, simplifying the insurance and billing process. Again, thank you for choosing Southern Tennessee Medical Medical Center.

You may download, print, and fill out the following forms:
Please fill out the forms completely, including consent form at the bottom.

All Patients must sign a consent form prior to admission. OB Patients will also need to sign a consent form for your baby, therefore there are two consent forms attached to the OB Registration Form. Please print this document, review, sign and initial where indicated. Then bring the forms, along with your insurance cards to:

Southern Tennessee Medical Center Admitting Department

Submit all of your registration information to us prior to your visit which will speed up our check-in process on the day of your procedure/test.  Once we have received your information, we will pre-register you and verify your insurance benefits for your visit.  One of our associates from the Pre-Registration Team will attempt to contact you prior to your visit to go over your specific insurance information if we estimate you will owe any out of pocket expenses.

For assistance with your pre-registration please call the Admitting Department at (931) 967-8272.