Online Pre-Registration

Welcome to Cullman Regional Medical Center Online Pre-Registration Center. You may pre-register for outpatient or hospital visits or your delivery. For your convenience please select the appropriate pre-registration form below. This pre-registration process should save you approximately 15 minutes on the day of your procedure. By registering with us online, you can receive the peace of mind that we have your medical information correct when you arrive at the hospital. All information will be kept secure and confidential. For more information you may call our pre-admission office at (256) 737-2468.

Thank you for allowing us to serve you.

Online Maternity Pre-Registration Form            

Online Hospital/Outpatient Pre-Registration Form 

Outpatient Lab Registration Form