Thank you for visiting our website and viewing the online registration. Completely filling out the online patient registration form will minimize your waiting time during your next visit to our office.

Your responses to all the information contained in this form will allow our office to verify insurance benefits and eligibility, determine your financial responsibility and obtain any required prior authorization from your insurance company prior to your scheduled visit.

The secure registration process will guide you through the following 5 simple steps and takes about 10 minutes to complete.  To get started, click the "Register Now" link.

	Patient Information - enter information about yourself, your employer and your insurance carrier
	Medical History - enter information about your medical history
	Systems Review - enter information about any pre-existing medical conditions
	Accident Information - enter information if your injury was a result of an accident
	Policies - review the Atlas Orthopedics agreement and insurance release form