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Outpatient Pre-Admission Registration

The staff and physicians at North Mississippi Medical Center are committed to providing the best patient centered care and health services in America. Every member of our staff is dedicated to making your experience with us as convenient as possible.

To assist us in serving you and providing excellent patient care, this pre-registration form has been designed to enable you to provide needed information prior to your arrival to expedite your visit.

Please complete the form and submit it to our Pre-registration area. If you have any questions regarding the information requested, please feel free to call the Admissions office at 1-866-375-3238.

ATTENTION: NORTH MISSISSIPPI MEDICAL CENTER REQUIRES 24 HOURS' NOTICE FOR ONLINE OUTPATIENT PRE-ADMISSION REGISTRATION.

Fill out the Outpatient Pre-Admission Registration Form