P.O Box 15118
325 South Belmont Street
York, Pennsylvania 17405

Patient Registration
Thank you for choosing Memorial Hospital. We want to make your experience here as convenient and efficient as possible. Our Pre-Registration Program allows the hospital to obtain all necessary registration and insurance information prior to your arrival.
You can take advantage of the Pre-Registration program in one of two ways. Please complete the secure on line registration form or call us directly at 717-815-2351 Monday through Friday from 8 a.m. to 6 p.m. and Saturday from 8 a.m. to 12 p.m.
If you choose to register on-line please do so 48 hours before your expected arrival time. You will also need the following information with you before you begin.
*Your insurance card(s), including Medicare or Medicaid
*Your physician's written order form
*Your Social Security Number
*Your Employment Information
*Emergency Contact Information
*Primary Insurance Holders Date of Birth and Employer Information
Once we receive your Registration form, if additional information is needed you may be contacted by a Pre-Registration Specialist.
This online form is not for emergency visits. Anyone seeking emergency medical attention will be registered in our Emergency Department upon arrival.