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Registration Information


We want your registration process to go as smoothly as possible.
That is why we have created a quick reference guide to help ease the process.

Inpatient Registration Information

When registering for either inpatient or outpatient services, you may be required to
sign the following:


    • CONSENT FOR TREATMENT
    • AUTHORIZATION TO BILL INSURANCE

    If you are a Medicare recipient, you will be
    required to sign:

    • MEDICARE SECONDARY QUESTIONNAIRE
    • MEDICARE RIGHTS STATEMENT

    If you are a Champus recipient, you will be required to sign:
    CHAMPUS RIGHTS STATEMENT


    Remember to bring with you the following items:

  • Social Security Card
  • All active insurance cards
  • License (or picture ID)
  • Living Will, if you have one.

    Orange Park Medical Center


    Patient Access Director




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Orange Park Medical Center
2001 Kingsley Avenue
Orange Park,  FL  32073
Telephone: (904) 276-8500
Fax: (904) 276-8703
You May Also Visit Us At http://www.opmedical.com