Get Labor & Delivery Pre-registration Form - Huntington Hospital

Completing the Labor & Delivery Pre-Registration Form at Huntington Hospital online is a crucial step for expectant individuals. This guide provides clear, step-by-step instructions to help ensure a smooth and efficient registration process.

Follow the steps to accurately complete the form online.

1. Press the ‘Get Form’ button to access the Labor & Delivery Pre-Registration Form and open it in the editor.
2. Begin by filling in your due date, obstetrician's name, and primary care physician details. This information is crucial for the hospital to coordinate your care.
3. Indicate your expected delivery method by selecting either 'vaginal delivery' or 'cesarean section.' Additionally, provide confirmation if you have a primary care doctor.
4. Provide your legal name, including last name, first name, and middle initial. If you have other names or a maiden name, fill that information in the designated space.
5. Enter your social security number, birthdate, and birthplace. Next, include your complete home address, email address, and primary contact number, marking the type of phone.
6. Indicate your race and ethnicity, along with your secondary contact details in the next section.
7. Fill out your legal marital status and primary language. This information is vital for record-keeping and ensuring proper communication.
8. Provide information regarding your employer, including your occupation, employer's address, and phone number. Indicate your work status (full-time or part-time) as well.
9. Designate a person to notify in case of an emergency, providing their relationship to you and their contact details.
10. Complete the insurance information section. Include your primary and secondary insurance details, such as the plan name, subscriber information, and contact numbers.
11. If applicable, mention your advance directive for health care. Remember to bring a copy if you have one when arriving at Labor & Delivery.
12. After filling in all the required fields, review your information for accuracy. Then, you can save the changes, download, print, or share the form as needed.

Take the next step in your journey by completing the Labor & Delivery Pre-Registration Form online today.