GMH Online Pre-Registration Form
117 Hospital Drive
Petersburg, WV 26847
Use this form to pre-register for your test, procedure, surgery, or delivery.
If you have services scheduled at Grant Memorial Hospital (GMH), please fill out the following form in it’s entirety. If you have any questions about the online pre-registration process or would like to pre-register by telephone, please call GMH Pre-Registration Department at (304) 257-1026 x2250.
PLEASE NOTE: Online pre-registrations are checked Monday – Friday from 7:30am – 8:00pm. Please allow at least one business day before your appointment for your pre-registration form to be processed. If there is less than one business day before your appointment, please register by calling the pre-registration department at (304) 257-1026 x2250.
Before you begin the pre-registration form, you are encouraged to review GMH’s “Notice of Privacy Practices.” To review that information, please click here.