Pre-Register for Your Visit Online Patient Registration Cut down on time spent in the waiting room by pre-registering for your hospital stay or procedure online. Using our online tool, you can pre-register when and where it’s convenient for you by simply completing the form below. Pre-registration is available for non-emergent patients. Please submit pre-registration at least 48 hours in advance of your hospital check-in to ensure timely process.

When You Arrive

Once you arrive at Houston Northwest Medical Center, you’ll need your insurance card and photo ID to verify your coverage and identity. Additional paperwork may be required to be completed in person during admission depending on your reason for visiting.

Pre-Registration

Please fill out the form below and we’ll confirm with you when received if you have included a valid email address. At that time we’ll also let you know if we need any additional information.

Fields marked with an asterisk(*) are required.

Your Privacy Is Important to Us

Information provided through our online pre-registration system is kept confidential and will become part of your medical record. Our hospitals adhere to the Health Insurance Portability and Accountability Act (HIPAA) of 1996.