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As a convenience for our patients, we are pleased to offer Online Patient Pre-Registration. Pre-registering for an upcoming appointment allows you to reduce your wait time in registration on the day of service.
Trained registration staff will process your information when your online registration is received. This ensures important information about you is accurate and up-to-date.
If you need assistance, please contact our
We can also help you with questions about managed care and your insurance. Financial assistance is also available to those who qualify.
Before you begin
If you feel this is a medical emergency, please call 911 or go to the nearest Emergency Room.
Please complete the Online Pre-Registration at least 2 business days before your service date.
Do not use if your service date is today.
You are entering a web site that is secure. The information you view and send cannot be read while in transit.
What you need to continue the Pre-registration:
Your current Insurance card(s)
Your Medicare or Medicaid card (if applicable)
Your Primary physician's first and last name
Your Ordering physician's first and last name
Your Social Security Number
Your employment information
Emergency contact information
Next of Kin information
To Protect Your Privacy:
Any information collected during the online pre-registration process is protected for your privacy and confidentiality.
For more information, please refer to the
GSHS Notice of Privacy Practices.
Good Shepherd Medical Center | 700 East Marshall Avenue | Longview, Texas 75601 | (903) 315-2000
Notice of Privacy Practices