A Tobacco Free Campus
A Part of the Parkridge Family of Hospitals
Parkridge Medical Center Parkridge Valley


Registration Information

We want your registration process to go as smoothly as possible. That is why we have created a guide to help ease the process.

You may be required to sign the following:

  • Consent to treatment
  • Authorization to bill insurance


    If you are a Medicare recipient, you will be required to sign:

  • Medicare Secondary questionnaire
  • Medicare Rights Statement

    Remember to bring with you at the time of registration the following items:

  • Social Security Card
  • All active insurance cards
  • Picture ID
  • Living Will, if you have one
  • Durable Power of Attorney, if you have one



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