JFK MEDICAL CENTER PRE-REGISTRATION INFORMATION

JFK MEDICAL CENTER

PRE-REGISTRATION INFORMATION

Dear Expectant Parents, We thank you for choosing JFK Health Medical Center for your birthing experience and look forward to your forthcoming stay. We encourage you to begin your pre-registration process no more than one month before your delivery date. For patients with Internet access you are welcome to visit the website below to initiate your own Pre-Registration at your convenience. The completion of the registration will be done upon admission to the Labor and Delivery Unit. Please be sure to bring picture Identification and insurance card when coming to the hospital. Please be prepared to provide the following information: Name__________________________________________ Date of Birth_____________________________________ Telephone Number__________________ Alternate________________ Best Time to Call____________________________________ Email address (Optional)_____________________________ Expected Date of Delivery______________________________ Physician Name_______________________________________ Please call or return this form to: JFK Medical Center, Admission Services

65 James Street Edison, NJ 08820

732-321-7150, Fax 732-767-2971

Financial Counseling is available. Please call 732-321-7534

Thank you and we look forward to assisting you !

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