Registration
At Gulf Coast Medical Center, we understand your time is valuable. That’s why we’ve added Online Pre-Registration and Mammogram Scheduling to our menu of Registration options.
If you prefer to use Online Pre-Registration and Mammogram Scheduling, follow the instructions on the box below. Before you begin, be sure you have all of the information listed below:
- Social Security number
- Name of ordering physician
- Date of your scheduled procedure
- All insurance cards information
- Employer information
For privacy reasons, if you leave your computer idle for more than 20 minutes, your form will not be saved and you will have to begin again.
Check-in with our registration staff on the date of your scheduled service to complete the registration process. Please be advised that you will sign all consent forms during your visit.
3-in-60 Women's Imaging Package
Three Tests. One appointment. Completed in one hour.
If your doctor has ordered a mammogram, labs, and a Dexa Scan for you, ask the scheduler about our 3-in-60 Women's Imaging Package.
- Local Phone: (850) 769-8341
If you prefer to Pre-Register via mail or fax, click here.