Health Information Authorization

Protected Health Information Authorization

At Muir Orthopaedic Specialists understand the value of our patient’s time. It is a priority for us to promote convenience in every aspect of your treatment. From our “one stop” orthopedic care facility and registering on-line to obtaining the information you and your family need to complete your recovery.

If there is someone you want to authorize to receive your medical and billing information please complete our Protected Health Information Authorization Form.

Once you have completed and signed the PHI form, it can be either faxed to (925) 933-4932 Attn: Medical Records, or dropped off at the Shadelands Office in Walnut Creek. A valid ID will be required at the time of the information is provided.

Please allow 2 to 3 business days for completion of your request.