The online form takes about 20 minutes to complete, but if you would prefer to preregister by phone, please call 803-296-5160.
* Indicates a required field.
I have read and agree to the Palmetto Health's Electronic Communication Consent.
* Returning user indicates a patient who has completed an online pre-registration since June 3, 2014.
Are you a returning user? If so, would you like to request a PIN to pre-populate your data or would you like to continue as a guest?
Please enter your email address, mobile phone, and mobile phone carrier so that we may provide you with a PIN.
Your PIN has been sent to the mobile number you provided.
If you have questions about your submission, please call 803-296-5160.
There appears to have been a problem with your submission.
Please try again or call 803-296-5160 to Preregister over the phone.