MCA Registration Assistance

Patient-Registration-Overview
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How to Register

Adult Registration
Minor Registration
Hospice Patients
Purchase Limits

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Still Need Help Fill Out This Form For Registration Assistance

Want help registering as a patient? We will walk you step by step in person or over the phone. We accept walk-ins! For those who prefer a specific appointment day and time for registration assistance, please fill out the form below to request an appointment. This doesn’t confirm your appointment. A staff member of Haven will contact you to confirm your appointment. If you need immediate assistance, please call (240) 650-0420.