Pre-Registration

Save time at your next appointment by pre-registering online!

  • Location
  • Primary Contact
  • Secondary Contact
  • Insurance
  • Physician

Update Patient Information

Click here to update patient-account information (PCP, address, etc.), or to upload a document or insurance card.

Pre-Registration Options

Phone

To pre-register with a Children's Mercy staff member, call (913) 696-5003.

Online

To pre-register online, fill out the form fields below. The form will guide you through the six steps of the pre-registration process.
The Pre-Registration team is working on transitioning our primary contact method to be via text message or email. During this transition, you may receive multiple requests to complete pre-registration. We apologize for any inconvenience and appreciate your patience as we try to improve your experience!
What language do you prefer to use to discuss your child's health care needs? *
Would you prefer an interpreter for the upcoming visit?
Which clinic location will the child be visiting? *
If you have an appointment for a COVID vaccination, you do not need to pre-register
What date will the child be arriving to the clinic(s)? *
Is this visit a result of an accident or injury? *
Has the patient been seen at any Children's Mercy location in the last 60 days?

* Information required