We at Muir Orthopaedic Specialists know that your time is valuable. As a new patient to our facility there are numerous required forms that you will need to complete. We've made it easy for you when you arrive for your first appointment by providing you all the initial forms online.

In our New Patient Registration process you will find a total of 4 forms. The first is an online form and the last 3 are provided in a 5 page PDF packet. The first 2 ( marked with an asterisk * ) are mandatory.

1. New Patient Registration Form * - This online form needs to be completed by all new patients and submitted 48 hours in advance of your appointment. Once you have completed the form in its entirety, please hit submit and this form will be sent directly to our secure site. Click here to begin.

In order for a physician to perform a full evaluation, we request that the patient medical history form be completed in full.

2. Patient Medical History Form*  (2 pages - included in the PDF pack of forms available below) - This form is available in PDF format. In order to complete this form, you will need to print it out, answer all health questions and bring it with you to your first appointment.

The forms below are optional and should be completed, if applicable to you.

3. The Notice of Privacy Practices Form (2 pages - included in the PDF pack of forms available below) outlines the uses or disclosures of your health information permitted by law.

4. Protected Health Information Authorization & Acknowledgement of Receipt of Notice of Privacy Practices. (1 Page - included in the PDF pack of forms available below) This form does 2 things;  Section 1 is your acknowledgement that you have received and read the Notice OF Privacy Practices Document. You should read this form but not sign the Acknowledgement of Receipt section until you arrive and can have your signature witnessed by a MOS representative.  Section 2 should be completed if you, as a patient, want to authorize someone to receive your medical and billing information.  (An example of this could be a married couple where one spouse wishes to permit the other spouse access to their medical and billing information).

When you are ready, click here to open and print the PDF Packet of forms.  Remember, the patient medical history form will need to be completed in full.

We thank you in advance for having these forms prepared prior to your arrival at Muir Orthopaedic Specialists and look forward to having you as our patient.