Online Pre-registration Form
Use this online registration form for most surgeries, tests, and procedures including births, radiology (ultrasound, computed tomography, magnetic resonance imaging, x-rays), mammography, cardiac tests (angiography, EKG), endoscopy, digestive tract and eye procedures, lab work, and all preoperative tests.
Advance Directives (24KB)
A legal document that allows patients to make treatment preferences known and designate a surrogate to make medical decisions should they become unable to make them on their own. Advance directives include living wills, powers of attorney, and health care proxies.
Spanish Version of Advance Directive (142KB)
Spanish version of a legal document that allows patients to make treatment preferences known and designate a surrogate to make medical decisions should they become unable to make them on their own. Advance directives include living wills, powers of attorney, and health care proxies.
Patient Financial Assistance Application (24KB)
Use this form to apply for financial assistance from John Muir Health. While you must meet certain financial criteria to be eligible, we know that quality medical care is expensive and want to help those who need it.
Personal Health Information Authorization Form (44KB)
Use this form to authorize the use and /or disclosure of Personal Health Information.