Pre-Register for Your Visit

Online registration

Save time and make your hospital admission even smoother at Los Alamitos Medical Center by pre-registering online at least 48 hours in advance. As long as you have access to a computer, you can pre-register from anywhere.

To pre-register

Fill out the form below and then we will email you to confirm that we have your paperwork. We will also email you if we need additional information.

Pre-registration disclaimer

This is for the pre-registration of non-emergent patients only. Please submit this online pre-registration at least 48 hours in advance of your hospital check-in to ensure its timely process.

If you choose to utilize our pre-registration form, understand that you do so at your own choice and risk. Any information you submit via the pre-registration form is confidential and is only shared with third parties as outlined in our Privacy Pledge.

If you elect to electronically submit a completed pre-registration form or any other information to Los Alamitos Medical Center through this website, you agree that you do so at your own choice and risk, and that you assume all responsibility for any liability arising from such electronic submission and from any errors or omissions in the data you provide. You agree to release and hold Los Alamitos Medical Center and its affiliates (including its directors, officers, employees, shareholders, agents and representatives) harmless from any and all liability or cause of action arising from the interception, access or use by a third party of any information submitted electronically by you through this website and from any errors or omissions in the data you provide. Additionally, the provision of any information to Los Alamitos Medical Center by you through this website, including a completed pre-registration form, does not create or constitute any relationship between you and Los Alamitos Medical Center, its affiliates or any of the physicians on its staff, to which any privilege may attach.

Pre-Register Now