We want your registration process to go as smoothly as possible. That is why we have created a guide to help ease the process. If you have a scheduled exam, we will make every attempt to reach you prior to your service so that we can register you in advance and expedite your visit.

During registration, you will be required to sign the following:

• Consent for treatment
  
• Authorization to bill insurance
  

If you are an Obstetrics patient please print, complete and bring in the following form or fax to 408-559-2675:

• OB Admission Form

If you are a Medicare recipient, you will be required to sign:

• Medicare Patient Rights Statement
  

If you are a Medicare recipient, you will be asked to complete:

• Medicare Secondary Payor Questionnaire
  

If you are a Medicare recipient, you may be asked to sign:

• Advance Beneficiary Notice
  

If you are a Champus recipient, you will be required to sign:

• Champus Rights Statement
  

Remember to bring the following items:

• Social Security Card
  
• All active insurance cards
  
• Picture ID
  
• Living Will or Durable Power of Attorney for Healthcare Document, if you have one
  
• Your physician's treatment orders