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Regional Medical Center of San Jose
Good Samaritan Hospital

Registration Information

Regional Medical Center of San Jose Now Offers Online Pre-Registration

Preparing for Surgery

Regional Medical Center’s Pre Procedure Clinic can help prepare and guide you through your surgery and maintain your safety throughout the process.

Who can Pre-Register Online?

  • Patients with a procedure or surgery already scheduled
  • OB Patients who would like to pre-register for labor and delivery
  • Patients who need to request a screening Mammography appointment

How to Pre-Register Online

  • Complete the 10-20 minute Online Pre-Registration and Mammogram Scheduling forms at least two business days prior to your scheduled appointment.
  • For privacy reasons, if you leave your computer idle for more than 20 minutes, your form will not be saved and you will have to begin again.
  • Check-in with our registration staff on the date of your scheduled service to complete the registration process. Please be advised that you will sign all consent forms during your visit.

Before you begin, be sure you have all of the items listed below on hand:

  • Social Security Number
  • Name of ordering physician
  • Date of your scheduled procedure
  • All insurance card(s) information
  • Employer information

Have questions about our Online Pre-Registration?

Call the number listed below.