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Patient Pre-Registration


Welcome to our online Patient Pre-Registration . . .

At Saint Francis Healthcare Campus, we encourage all patients to pre-register. This way, your paperwork can be prepared before arrival and your wait time will be minimized.

Items You Will Need for this Pre-Registration process:

  • All active insurance cards
  • Social Security numbers for patient and insurance subscriber
  • Physician Order - information about your doctors, including names and addresses
  • Emergency contact information

Items You Will Need on Day of Admission:

  • All active insurance cards
  • Picture ID 
  • Any co-payment/deductible that can be made. (We accept MC, Visa and Discover)

If you have any questions or concerns regarding this form, call the Pre-Registration Office at 218.643.3000. If you have any questions concerning payment of your accounts, please contact one of our Financial Counselors at 218.643.0312.

Click Here for the Pre-Registration Form

CHI St. Francis Health, 2400 St. Francis Drive, Breckenridge, MN 56520