Registration

Registration

How to Register

After days, maybe even weeks, of meeting with your physician and pouring over every question related to your procedure, the last thing you need is a sea of paperwork to generate more uncertainties. That's why we've worked to keep the registration process as simple and uncluttered as it can possibly be. On this page, you'll find all of the documents you need to generate your medical history, give consent for the scheduled procedure and provide relevant insurance information.

Riddle Surgical Center is proud to offer their patients the convenience of One Medical Passport, which allows them to complete medical forms before walking through the door.

Download our Notice of Privacy Practices

Notice of Privacy PracticesClick the icon to download the Notice of Privacy Practices for Riddle Surgical Center. Version en Español: hágase clic aquí.

Simply access a secure website and complete your Medical Passport (demographic, insurance and medical history). The completed medical history will be automatically formatted into comprehensive Operating Room forms.

Be sure to have the following information available before you get started

  • The names, addresses and phone numbers of your physicians
  • A list of all medications you are taking, their dosage and frequency
  • A list of all the surgical procedures you have ever had
  • The name of the surgeon who will be performing your upcoming procedure

Click on the One Medical Passport icon below to get started.

One Medical Passport

 

We Protect Your Data

It can be unnerving to share the entirety of your medical history with anyone, even a recognized facility like ours. Rest assured, your personal information and patient data are protected according to all federal HIPAA laws and regulations. 

 

1118 West Baltimore Pike   |   Media, PA 19063   |  484-931-2270    fax: 610-565-4616  |   © 2016 NueHealth. All rights reserved
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