Admissions


Upon arrival (non-emergency) to the hospital please go to the Admissions Department. If you have been pre-admitted to the hospital, your pre-admission information will be verified and certain forms will be presented for you to sign.

We will need the following information:

Patient name, address, phone number, birth date, and social security number
Medicare, Medicaid, or County Indigent papers
Employer's name, address and phone number
Next-of-kin name, address, phone number, and Employer Responsible Party Information

During pre-admission or admission, we make financial arrangements with you. We contact your insurance company or employer to determine allowable benefits under your health insurance policy. Please note that if pre-certification is required by your insurance, it is the responsibility of the patient or physician to meet this requirement. The following information is needed in order to file your insurance claims. If you have coverage by two or more group insurance companies, the same information will be needed for each additional insurance plan. Copies of all insurance cards are required. Please provide the following information:

Name of Insurance Company
Policy, certificate, and/or group numbers
Name of insured persons
Employer of insured person
Effective date of policy
Name and address where the claim is to be mailed

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Permian Regional Medical Center is an Equal Opportunity Employer
It is the policy of Permian Regional Medical Center to provide equal opportunity to persons regardless of race, religion, age, gender, disability or any other classification in accordance with federal, state and local statuses, regulations and ordinances.