Pre-Register

Adventist Health Simi Valley Pre-Registration

IMPORTANT NOTICE: THIS ONLINE PRE-REGISTRATION PROCESS WILL NOT SCHEDULE YOUR APPOINTMENT WHERE YOUR PROCEDURE IS BEING PERFORMED. YOU MUST FIRST CALL AND ARRANGE YOUR APPOINTMENT PRIOR TO COMPLETING THIS PRE-REGISTRATION PROCESS. THE PHONE NUMBER FOR SCHEDULING IS 805-955-6122.

Pre-register Now!Adventist Health Simi Valley's online patient pre-registration process is a handy, time-saving option that allows you to pre-register at your convenience. Adventist Health Simi Valley recognizes the confidential nature of the information you submit online. For this reason, you will be transferred to a secure page to complete your pre-registration. Learn more about your online privacy.

Need Assistance With Pre-Registration?

If you are having problems, call us to help you through the process. We are here Monday through Friday 8am–5pm at (805) 955-6123

Services For Which You Can Pre-Register

Currently, you can pre-register for the following departments and procedures at Adventist Health Simi Valley:

Start the pre-registration process!

What You Will Need to Pre-Register

Before you begin the pre-registration process, you will need:

  • Your insurance ID card information
  • Procedure date and time
  • Type of procedure (such as a mammogram or X-ray)
  • Personal contact information
  • Physician order.

Start the pre-registration process!

After You Have Finished Online Pre-Registration

After you have submitted your online pre-registration form, you will receive a confirmation e-mail from the hospital. You will also be reminded to print your completed form and bring it with you on the day of your procedure, along with any items listed on your pre-registration form. Thank you for choosing Adventist Health Simi Valley!

Regarding Your Privacy

Your browser will indicate that you are on a secure page by displaying a locked padlock icon somewhere in your browser window. You can proceed with the knowledge that the information you provide is kept in strict confidence. Adventist Health Simi Valley's security protocols exceed Internet standards for this type of information. For more information, read our Website Privacy Policy.

Adventist Health Simi Valley follows federal HIPAA guidelines that help protect our patients' private health information by limiting the amount of information provided to the public without patient authorization. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) is a federal law that is designed to ensure the portability of health insurance for individuals from one job to another and to protect patient health information. For more information, read our Notice of Privacy Practices.

Pre-register online now!