Pre-Registration Forms

Speed up the check-in process at our Dallas area hospitals

We are very glad you chose a Methodist Health System facility to receive your care. We will do everything we can to provide you excellent service and ensure your health care needs are met. Methodist Health System is committed to providing quality health care to all patients.

Pre-registration saves you time by setting up your patient account prior to your arrival. When you arrive, you need only sign the appropriate forms and admission is complete. You can pre-register any time after scheduling your appointment.

Select a form below to register:

• Pre-registration: Non-Maternity
• Pre-registration: Maternity

Methodist Health System asks that all patients scheduled for elective services make arrangements to pay any patient portion due on or before the date of service. If you need financial assistance or would like to discuss your patient portion due, please contact:

• Methodist Dallas Medical Center
  1441 North Beckley Avenue
  Dallas, Texas 75203
  (214) 947-3422
• Methodist Charlton Medical Center
  3500 West Wheatland Road
  Dallas, Texas 75237-3460
  (214) 947-5516
• Methodist Mansfield Medical Center
  2700 E. Broad Street
  Mansfield, Texas 76063
  (682) 622-7004
• Methodist Richardson Medical Center
  401 W. Campbell Road
  Richardson, TX 75080
  (469) 204-2120
• Methodist Midlothian Medical Center
  1201E US-287
  Midlothian, TX 76065
  (469) 846-6102
• Methodist Southlake Medical Center
  421 E. State Hwy 114
  Southlake, TX 76092
  (682) 335-2107