Patient Pre-Registration - Step 1 of 6

Thank you for using Beaufort Memorial Hospital's online preadmission form. You must first call the BMH Centralized Scheduling number (522-5015) to set up your appointment. Also, you can save time by completing the secure online pre-registration form.

Please complete the required information below and click "SUBMIT" at the end of the form. All fields marked with an asterisk (*) are required fields and must be completed.

Complete your admitting form on line to save time when you come to the hospital to register for a service. When you arrive at the hospital, you will check in at Registration and they will verify that the information you submitted is correct.

Pre-Admission Form

Indicates a required field















(mm/dd/yyyy)






Find a Provider