For Patients

Pre-registration
For planned hospitalizations, a hospital representative may call you a few days prior to your admission to pre-register you for your stay. They will ask for information about your health, emergency contact, billing and insurance coverage. Be sure to bring your insurance card to the hospital the day of your appointment so that it can be scanned. Please bring a photo ID, too, if you have one. This will help your admission go smoothly once you arrive at North Memorial. If you have any questions about pre-registration, please call Admitting at (763) 520-5376.

Pre-admission forms for childbirth
Before you have your baby, we would like you to take a moment to fill out the forms described below. Completing these forms prior to your stay at North Memorial will allow for a smoother registration and more satisfying birth experience.

Click here to download all of the pre-admission forms. To download them individually, see below.

Birth Certificate Information - this information is used for your baby's legal birth certificate.

Birth Preferences - Birth Preferences can help you make special plans for your baby's birth. We will follow your wishes as much as we can provided that you and your baby are not at risk.

Infant Photography Release - we offer professional photography services and the opportunity to place photos of your baby on our Web site. A photographer will meet with you to explain these services when you are admitted to North Memorial.

If you have any questions about the above mentioned forms, please call (763) 520-1366.

The next form should be completed and returned 6 to 8 weeks prior to your due date:

Pre-Admission Registration - pre-registration is recommended in order to ease your admission into the medical center. If you have any questions about this form, please call (763) 520-5376. You can return this form by mail or by fax.

Mail:
North Memorial Medical Center
Admission Office
Labor and Delivery Preadmission
3300 Oakdale Avenue North
Robbinsdale, MN 55422-9988

Fax: (763) 520-1454