Delivering Your Baby At Mease Countryside Hospital?
Welcome To Our Maternity Online Pre-Registration
Follow the three easy steps below to pre-register for admission via our secure form.
If you have questions regarding this online form, please contact our Admitting Department at 727-725-6930.
Step One:
Patient Information
Previous treatment, present treatment, employment & next of kin. Your email address is required if you would like to be contacted regarding the completion of your pre-registration process.
Step Two:
Insurance/Payment Information
To make payment, please contact us at: (727) 725-6680. Fields include primary insurance, secondary insurance & which insurance will cover the baby.
Step Three:
Birth Certificate Information
This information is sent directly to Medical Records, where the preliminary Birth Certificate process begins.