About Banner      Locations      Services      Patients      Health Info      Donate      Health Professionals      News      Careers      
 Online Registration  
 
  LOGIN
Already a User?
Please login to submit Online Registration.
USER NAME:
PASSWORD:


   
New User? Click Here
Forgot Password? Click Here
  
  WELCOME TO ONLINE REGISTRATION
Thank you for registering online for your care at a Banner Health facility where our mission is to make a difference in people's lives through excellent patient care. If you have provided an email address while signing up, you will receive an e-mail following your registration with important information about the Banner facility where you have your scheduled procedure. At Banner Health, we want your online experience to be as convenient and as secure as possible.

  • If you are a New User of the Online Registration process, please click on New User to get started. Enter a Unique User Name and Password. Enter a Challenge Question and Answer to help retrieve your password in case it is forgotten.


  • If you are a "Returning User", please login by entering your unique User Name and Password. The LOGIN section is located on the top left corner of the screen. Click the LOGIN button after entering your information.


  • If you have forgotten your password, click on Forgot Password.

IMPORTANT INFORMATION
To make your online registration easier, please have the following documents available:
  • Name of facility and scheduled procedure
  • Patient & emergency contact info including: address, phone numbers, birthdays, and employment
  • Applicable primary, secondary, and state/federal insurance
  • Maternity due date
  • Co-payment/deductible will be collected at time of registration
Use the following link to find information about the facility your procedure will be taking place
Look for your facility