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Portsmouth Regional Hospital
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Seabrook Emergency Room
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Preregister Online

As part of our commitment to providing the most convenient methods to meet your healthcare needs, Portsmouth Regional Hospital offers online preregistration for all your scheduled services and mammogram scheduling to save you time at check-in.

Preregister Online

Before you begin the online preregistration process, be sure to have the following information:

  • Name of ordering physician
  • Date of your scheduled procedure
  • All active insurance cards
  • Employer information

Complete the online preregistration and mammogram scheduling forms at least three business days before your scheduled appointment. For privacy, if you leave your computer idle for more than 20 minutes, your form will not be saved and you'll need to begin again.

On the date of your scheduled service, check in with the registration staff to complete the registration process in person. You'll sign all consent forms during your face-to-face visit.

Be sure to bring your insurance card(s) and identification.

Before your appointment or service, contact your insurance carrier to check the specific details of your benefits and coverage.

Preregister Online at Portsmouth Regional Hospital for All Surgery Procedures

Click the "One Medical Passport" image below to be taken to an online preregistration page for surgery procedures. Note that this is only available for Portsmouth Regional Hospital patients.

one medical passport

Check in with the registration staff on the date of your scheduled service to complete the registration process. You’ll need to sign all consent forms during your visit.