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Registration Information

Registration Information

We want your registration process to go as smoothly as possible. That is why we have created a guide to help ease the process. In addition to the items below, please be aware that you may be asked to pay your deductible or copayment prior to receiving non-emergent medical services.

All patients may be required to sign the following:

  • Consent for treatment
  • Conditions of Admission
  • Authorization to bill insurance

If you are a Medicare recipient, you must:
  • Answer the Medicare Secondary questionnaire
  • Receive and sign a copy of the Medicare Rights Statement

If you are a Champus recipient, you will be required to sign:
  • Champus Rights Statement

Remember to bring with you at the time of registration the following items:

  • Social Security Card
  • All active insurance cards
  • Picture ID
  • Living Will, if you have one
  • Deductible or Copayment

 



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Edward White Hospital
2323 9th Avenue North
St. Petersburg, FL  33713
Telephone: (727) 323-1111

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