TCHI New Patient Preregistration

Name: Tri-County Heart Institute
Item: Tri-County Heart Institute
Rating: 5
Author: Phil Burt

Welcome to the New Patient Preregistration portal for Tri-County Heart Institute. This is the first step in establishing your profile with us and allowing us to verify your insurance information, so be sure to have your insurance information handy before beginning. The form will open in a new window so you can click back to this page to refer to the critical instructions and tips below. This should only take you 2-3 minutes so you’ll be done, well, in a heartbeat!

New Patient Enrollment Made Easy…

PAGE 1

Tell us who you are… Fill in all the required fields.

TIP #1

Please be sure to include a valid and easy-to-access cell number and email address as follow up information will be sent to either or both of these to complete your enrollment.

TIP #2

If you no longer have a HOME PHONE, re-enter your cell phone number in that field.

PAGE 2

Tell us who your emergency contact is… Fill in all the required fields.

TIP #3

If your emergency contact does not have a home phone or is more reachable on a cell phone, please use THAT number in the phone field.

PAGE 3

Tell us about your insurance… Fill in all the required fields.

TIP #4

The first box should be the NAME OF YOUR INSURANCE PROVIDER. The name of the primary person on the insurance policy – typically you or your spouse – goes in the second box (“Name of Insured”).

PAGE 4

Verify the code shown on the screen and SUBMIT.

Once you’ve completed this step, we will verify your insurance and our office will be back in touch with you, typically within 3-4 business days depending on responsiveness of your insurance provider.