• Pregnancy and Parenting
• Birth Center
• Birth Center Location
• Birth Center Tours
• Frequently Asked Questions for Expectant Parents
• Lullaby Program
• Maternity Advance Registration
• Online Baby Photos

Getting Started

Before filling out this form, please have in front of you:

1.	your insurance card or the insurance card of the person whose plan you are on
2.	your social security number as well as the social security number of the person whose plan you are on
3.	an emergency contact name, home phone number and work number
4.	the name and type of each medical plan you have
5.	the name of your medical group or John Muir Medical Group if you have an HMO

Patient Safety Information Video

View the video

John Muir Medical Center, Walnut Creek Campus would like to make your entire hospital experience a pleasant one, from registration through the billing process. In recent years insurance companies have created a complex system form processing claims in a timely manner. While your healthcare is our primary concern, the following information is necessary for your patient records as well as to protect your rights to insurance benefits.

More About Pre-Admission

For questions about your hospital stay, please call our Pre-Admission Center at (925) 947-5280. If you have any questions regarding your insurance benefits, please call our financial counselors at (925) 947-3257. To get dates for the next Birth Center Tour please call (925) 941-7900, option #11 or click here. Together we are here to assist you in any way to ensure your comfort.

This online form provides a convenient alternative to the printed form. We will ask you questions in small groups, and we will try to avoid asking unnecessary questions. We will progress through a number of pages, and we will keep track of your answers as we go. If you ever need to revise an answer, you may use the "back" button in your browser, or you may wait until we reach the end of the interview where we will give you a chance to jump back to specific questions.

During the interview, look for the [info] links near questions. These attempt to explain further the particular information we're requesting. If We've still failed to be clear, please refer to the phone numbers above.