Registration Information
We want your registration process to go as smoothly as possible. To assist with this, we've listed information we hope you will find helpful.
You may be required to sign the following:
- Consent for Treatment
- Authorization to bill insurance
If you are a Medicare recipient, you will be required to sign:
- Medicare Secondary questionnaire
- Medicare Rights Statement
If you are a Champus/Tricare recipient, you will be required to sign:
Remember to bring with you at the time of registration the following items:
- Picture ID
- All Active Insurance Cards
- Social Security Card
- Living Will or Durable Power of Attorney, if you have one
- Physician's Order
Please click here to see a list of insurance companies Palmyra Medical Centers works with.
Insurance can be difficult to understand at times. To help with understanding, click here for a list of frequently asked questions.
If you did not see your insurance company listed, please click here for our Community Services Department and they will be happy to review your specific insurance and benefit options.
Click here for our Notice of Privacy Practices.
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