Welcome to Las Palmas Del Sol Healthcare online registration. This tool will help you save time by submitting your registration information prior to your visit.
We recognize the confidential nature of the information you are about to submit. For this reason, you are now working in a secure window. Once you have submitted your online registration form, you will receive an email confirming receipt.
Please be aware that once you have started the online registration, you will not be able to save and return later to complete the form. The entire form must be completed in one session. This process should take 5-10 minutes.
Please have the following items available prior to beginning the online form:
- Insurance information
- Social Security number
- Anticipated appointment date
- Procedure/appointment information
For surgery patients only, please also have the below information available and complete your Medical History as part of your Online Registration with our One Medical Passport service below:
- The names, addresses and phone numbers of your physicians
- A list of all medications you are taking, their dosage and frequency
- A list of surgical procedures you have ever had
- The name of the surgeon who will be performing your upcoming procedure
If an email address is supplied you will receive an e-mail confirmation.
Outpatient Registration: (833) 298-8442
Thank you for choosing Las Palmas Del Sol HealthCare.