Register for Surgery – Online Pre-Registration

Pre-register for Your Upcoming Visit

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
  • 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 form

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) 947-3257.

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.

If you have questions about this pre-registration process, please call (925) 941-3030 for assistance.