Morton Hospital

88 Washington Street, Taunton, MA 02780    508-828-7000

Online Existing Patient Pre-registration

Welcome to Morton Hospital's Existing Online Patient Pre-registration.

By successfully Pre-registering Online, you will be able to go directly to the department where your test is being performed.

This pre-registration service is currently limited to certain services/testing departments.

Your appointment must already be scheduled. The date of your appointment should be between 2 - 30 days from the date you submit this form.

Patient Information

MM/DD/YY

What type of test do you have an appointment for?
  • CT SCAN
  • MRI
  • MAMMOGRAPHY
  • BONE DEX
  • COLONOSCOPY
  • GASTROSCOPY

What Doctor ordered this test? Last name, first name

Last name, First name

Last name, First name

Full Street Address or P.O. Box including Apt # if applicable

Five digit zip code

Area Code and 7 Digit Number

MM/DD/YY
  • Black
  • White
  • Asian
  • Native American
  • Hispanic

Last 4 digits
Employment Area

Has your employer's information changed since the last time you pre-registered online? If no, please skip to insurance information.

Please answer if employed or a student. Must be completed if the source of payment is Worker's Comp

Five Digit Zip Code
Insurance Information
  • Health Insurance
  • Worker's Comp
  • Auto Insurance
  • Self Pay

Has your insurance information changed since the last time you pre-registered online? If no, please skip to contact information.

Enter the name of your health insurance as it appears on your card here. If you have no insurance, enter none here and on the other required fields.

Name on the card or person who is paying for insurance through their employer

Usually located on the back of the card. Mail claims to:

If you have more than one insurance, please list your second insurance here

Name on the card or person who is paying for insurance through their employer

Usually located on the back of the card. Mail claims to:

If you have any additional insurances, please give us the name of the insurance, policy #, policy holder and address
  • Phone
  • Email
  • Not at All

If you have requested that we contact you by email in the question above, enter your email address here

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