Welcome to CHRISTUS Health online patient pre-registration.
Please complete this convenient online patient pre-registration to save time on the day of your procedure. The pre-registration information must be completed at least three business days before your procedure. Note: Completing the online pre-registration form now will limit registration at the time of service to include signing of patient consents only. Please bring a photo ID, insurance card, and physician's orders on the day of the procedure.
CHRISTUS Health protects your confidential information and for this reason you are now in a secure window. Your information will be kept in strict confidence. For the health and safety of all, CHRISTUS Health campuses are tobacco-free.
Thank you for choosing CHRISTUS Health.
Thank you for choosing CHRISTUS Health. We realize you have a choice in your healthcare providers. We are honored you have chosen us for your upcoming service.
Users are advised that the information submitted through this form may be transmitted over unsecured email and releases CHRISTUS Health and its Associates, agents, and subcontractors from all responsibility or liability for any claims or damages arising from the content of the Email Form or the transmission thereof. By selecting the "I agree to Terms and Conditions" checkbox user acknowledges these terms and conditions and consents to transmission of the form.