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Although these fields are not required, the hospital requests race, ethnicity and language to ensure that the workforce and interpreter services match the community served.
The secure pre-registration form is only for those patients who have an appointment at one of following hospitals-- Addison Gilbert Hospital; Beverly Hospital; and Lahey Outpatient Center, Danvers. We have designed this online pre-registration form to allow you to pre-register from home for your upcoming appointment. Please complete this form at least 24 hours prior to your appointment. This gives our staff the time needed to process your pre-registration information.
If you have questions in completing the form, our staff is eager to assist you. Please call Access Services at 866.479.3208. Our hours of operation are Monday through Friday, 9:00 a.m. to 7:00 p.m. and Saturday 9:00 a.m. to 3:00 p.m. or email access@nhshealth.org