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; Beverly Hospital at Danvers, Medical and Day Surgery Center; and Beverly Hospital Cable Center. 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 (978) 922-3000 ext 2100 or (978) 283-4001 ext 400. 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 firstname.lastname@example.org
Why is race and ethnicity information being requested?
Beverly and Addison Gilbert hospitals are the Gold and Bronze winners, respectively of the 2012 Gatehouse Media’s Reader’s Choice, "Favorite Hospital – North of Boston".
Beverly Hospital and Addison Gilbert Hospital Among Thomson Reuters 100 Top Hospitals
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Beverly, Massachusetts 01915 | 978.922.3000 |