Pregnant woman holding ultrasound images

Maternity Pre-Admission Form

Mother's Information

Prior to proceeding with the Pre-admission process, please review and accept Emory Healthcare's Joint Notice of Health Information Privacy Practices. Below, at the end of the form, you will be asked to accept acknowledgment of the Notice of Privacy Practices in the Use and Disclosure of Personal Health Information.

You will need to reference information on your Insurance card during this process. If you have any questions concerning during the pre-registration process, please contact us at 404-501-1389.