Online Patient Registration

Welcome to South Nassau's Secure Online Registration Form
At South Nassau, we’re dedicated to making your experience with us as pleasant as possible — from start to finish. So to save you time, you can register for your upcoming visit right here online, whenever it’s convenient for you. To complete these forms, have your insurance or other payment information on hand.

* denotes a required field

Do you have an Advance Directive?
If YES, is it on file with South Nassau Communities Hospital?

Is this visit related to:

Motor Vehicle Accident?
Work Related Accident?

If YES, please see Registrar for additional required form.

Inpatient

Inpatient

Thank you for choosing South Nassau for your inpatient care, for health care services where you need to stay...

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Outpatient

Outpatient

Thank you for choosing South Nassau for your outpatient test, treatment or surgery. To save you time, you can...

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Maternity

Maternity

We’re so glad you’ve chosen South Nassau to have your baby. To help make the day of your admission run as...

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Register Online

Register Online

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