As a convenience for patients, Arkansas Methodist Medical Center is pleased to offer online pre-registration.

Arkansas Methodist Medical Center is following federal guidelines that help protect patient's health information by limiting the amount of information provided to the public without patient authorization. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) is a federal law that is designed to ensure the portability of health insurance for individuals from one job to another and protect patient health information. Protected health information is any health information that can be used to identify a patient and relates to health-care services provided to the patient or the payment of those services. It includes all medical records and other information, which identifies the patient, such as demographic, medical and financial - in any form - electronic, paper or spoken.

You will receive a copy of the notice outlining HIPAA Privacy when you reach your point of service area. To see the notice now, click here.

Pre-Registration
Please submit your online pre-registration at least 72 hours in advance of your hospital check-in to ensure timely process.

If you choose to utilize our Pre-registration Form, understand that you do so at your own choice and risk. Any information you submit via the Pre-registration Form is confidential and is only shared with third parties as outlined in our Privacy Policy.

Pre-Registration Disclaimer
If you elect to electronically submit a completed Pre-Registration Form or any other information to Arkansas Methodist Medical Center through this web site, you agree that you do so at your own choice and risk, and that you assume all responsibility for any liability arising from such electronic submission and from any errors or omissions in the data you provide. You agree to release and hold Arkansas Methodist Medical Center and its affiliates (including its directors, officers, employees, agents and representatives) harmless from any and all liability or cause of action arising from the interception, access or use by a third party of any information submitted electronically by you through this web site and from any errors or omissions in the data you provide. Additionally, the provision of any information to Arkansas Methodist Medical Center by you through this web site, including a completed Pre-registration Form, does not create or constitute any relationship between you and Arkansas Methodist Medical Center, its affiliates, or any of the physicians on its staff, to which any privilege may attach.

If you agree to these terms and wish to submit a Pre-Registration Form, please click here.