John Muir Health logo
  • Patients
    About MyChart
    Locating Patients
    Medicare
    New Patients
    Payment & Insurance
    Physician Open Payments Notice
    Preparing for Surgery
    Pre-Register for a Visit
    Registration & Forms
    Request a Health Record
    Security Center
    Video Visits
    Why Choose Us
  • Services
    Addiction Medicine
    Behavioral Health
    Cancer
    Cardiovascular Services
    Digestive Health
    Emergency Services
    Lab Services
    Medical Imaging
    Neurosciences
    Orthopedics
    Pediatrics
    Physical Rehabilitation
    Pregnancy & New Parent
    Primary Care
    Urgent Care
    ALL SERVICES
  • Education
    Classes, Screenings & Support Groups
    Clinical Trials
    Conditions & Treatments
    Health & Wellness
  • Health Professionals
    Careers
    Clinical Research
    Family Medicine Residency Program
    John Muir Medical Group
    Medical Staff
    Nursing
    Pharmacy Residency Program
    Resources
    Training & Education
    Video & Publication Center
  • About Us
    Annual Reports
    Awards & Recognition
    Board of Directors
    Community Commitment
    Employers, Brokers, & Health Plans
    Executive Team
    Make a Gift
    Mission & Vision
    Partnerships
    Media Center
MyChart Login
  • Find a location
  • Find a doctor
  • Pay a bill
  • Find a job
✕

Latest information on COVID-19 >

Pre-register for Your Upcoming Visit

  1. Home
  2. For Patients & Visitors
  3. Registration & Forms
  4. Register for Surgery – Online Pre-Registration
Online Pre-Registration

Pre-Registration

Save time by pre-registering online for an upcoming scheduled appointment. Use our form to pre-register for the following:

  • Angiography
  • Birth
  • Cardiology Testing
  • Endoscopy
  • Eye Lab Procedure
  • GI Procedure
  • Heart Catheterization
  • Labor and Delivery
  • Mammography Testing
  • Pre-operative Tests (Lab, X-Ray, EKG) for Inpatient Surgery
  • Radiology Tests
  • Surgery
  • Ultrasound Exams
Getting Started

Before starting your online form, have the following information in front of you:

  1. Your insurance card or the insurance card of the person who is the primary subscriber for your insurance.
  2. An emergency contact’s name, home phone number, and work phone number.
  3. The name of your medical group if you are in an HMO.
  4. If you will be delivering a baby, the name of your baby's pediatrician.
Start Pre-Registration
Additional Information

This form will take about 10-15 minutes to complete.

For questions regarding insurance benefits, please call a John Muir Health financial counselor at (925) 941-2030.

John Muir Health requires you to submit personal information, so be sure to read our privacy policy explaining how we protect your personal health information.

Expecting a baby? Visit our Preparation for Labor & Delivery page or Tour Our Birth Center. You can also view and sign up for Prenatal and New Parent Classes.

Hi! I'm here to help answer your questions.
Chat
ABOUT
About Us
Board of Directors
Executive Team
Awards & Recognition
Partnerships
Community Commitment
Employers, Brokers & Health Plans
NEWS & PRESS
Media Center
Annual Reports
GET INVOLVED
Careers
Volunteer
Make a Gift
CONTACT
Email Us
PRIVACY
Patient Privacy
Website Privacy
Terms of Use
Security Center
Follow Us

© John Muir Health All rights reserved.

John Muir Health is accredited by The Joint Commission. 

We use cookies to measure website traffic and personalize content for a better browsing experience. By using this website, you consent to our cookies. For more details, see our Website Privacy Policy.