Online Hospital Pre-registration
As a convenience to our patients, we offer online pre-registration for select hospital services.
Please Note: This pre-registration form is for patients registering for medical services only. If you seek to register for an event, tour or class instead, please visit our community calendar .
Pre-registration Notice
If you decide to utilize the hospital’s online pre-registration form, you understand that you are using this online form “as-is” and at your own risk. The personal information you submit by using the online form is confidential and governed by the hospital’s Notice of Privacy Practices .
Pre-registration Disclaimer
If you choose to electronically submit an online pre-registration via this website, you agree that you do so at your risk, and you assume all responsibility for any liabilities that may occur such as, for example, errors and omissions arising from the delay or corruption of any data transmitted via use of the online form. You agree to release and hold Adventist HealthCare and Shady Grove Medical Center and its affiliates (including its officers, directors, employees, physicians, and agents) 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 by you via this website and from any errors or omissions in the data you provide. You understand that the contents of the online form are not intended to serve as medical advice, diagnosis, or treatment and that you must always seek the advice of a physician when you have questions about a medical condition. Additionally, no privileges are created between you, Adventist HealthCare and/or its affiliates, Shady Grove Medical Center, and medical staff physicians.
