By agreeing to the terms of our secure forms, you will enter a secure area of our web site. Massena Memorial Hospital will not be held responsible in the event your electronic message is not transmitted due to technical problems related to this site or to the hosting server. All personal identifying information is encrypted and your message will not be internally or externally forwarded to other third parties. The information will solely be used by Massena Memorial Hospital.
Your request will be processed within 24 hours, during normal business hours, Monday - Friday, 7:00 am - 4:30 pm, excluding holidays.
If you have any questions regarding the use of the pre-registration form, please contact our office during normal business hours. If you need assistance in completing the form, please call MMH Patient Financial Counseling Department at 315-842-3017.
To access the Online Registration please continue below with the form. Thank you!
Please Bring the Following with you:
1. Photo ID
2. Insurance Card
3. Doctors Order