Central Florida Health Alliance

Pre-Registration

WELCOME!
Central Florida Health Alliance is committed to your safety. Our pre-registration process is secure and your personal information is protected.
 
As a convenience to our patients, Central Florida Health Alliance is pleased to offer online hospital pre-registration. Please have the following information available to you while completing your pre-registration form:
 
  • Your insurance card
  • Your Physician's Order indicating what tests need to be performed
  • Your Employment Information or Retirement Information if applicable
In order to use this form, your date of service must be a future date on or after 04/19/14.
 
If there are less than three business days before your appointment or if you have any questions concerning the pre-registration process, please call our Pre-Registration Call Center at 352-751-8888 and we will be happy to assist you.
 
We are committed to your safety!
 
Central Florida Health Alliance follows federal guidelines that help protect every patient's 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 protect patient health information. Protected health information is any health information that can be used to identify a patient, describe the health-care services provided to the patient, or show information about the payments for those services. It includes all medical records and other information which identifies the patient (such as demographics, medical reports or financial records) in any form (electronic, paper or spoken).
 
You will receive a copy of the notice outlining HIPAA Privacy when you reach your point of service area. To see the notice now, click here.