Member Benefits

Online Registration

Newsletters

    Spring 2004

    Summer 2004

    Fall 2004

 

Education Calendar

join senior connections

Online registration

A FREE Membership Program for

People 55 & Over

 

Sign up now for Rome Memorial Hospital's new Senior Connections Program.  Senior Connections is our way of saying thank you for your continued support of Rome Memorial Hospital.  Our members receive discounts, periodic free health screenings, and advance notice of educational programs.  We'll add your name to our mailing list so  you are among the first to know about new services available right here in your own community.

 

Fill in the following information and press the Submit button when finished:

 

Salutation

First Name

MI

Last Name

Address

City

State

Zip

Phone# (Ex. (315)555-5555)

DOB (Ex. 01/01/1945)

 

Gender

Ex. - F= Female  M=Male

Primary Care Physician

# of Cards Requested

Health Insurance Plan

 

 

Click HERE to print out an application

Back to Top

©Copyright 2000-2007, Rome Memorial Hospital, All Rights Reserved- Last updated: 01/01/2007

Please send comments or suggestions about this web site to: cwinter@romehospital.org:  Report any broken links to: webmaster@romehospital.org

This site is for information only and is not intended to substitute for professional medical advice