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If you have previously contacted our office, we have probably already provided you with a secure link to complete and submit the patient registration form online. If you prefer to complete the registration form by hand rather than online, please follow the link below to a printable version of our registration form. However, please be aware that if you do not submit the forms online, but would like our office to check your insurance benefit prior to your first visit, please fax, mail, or deliver the completed forms to us at least 3 business days prior to your first visit.

  • If you are unsure about any of the responses, leave them blank and we will gladly assist you at your first visit.

Printable Registration Form

Our privacy notice is also available for download as a pdf for your reference if you would like to review it prior to your visit:

Privacy Notice Form

358 Marine Parkway | Redwood City, CA 94065 | info@rsortho.com | Phone: (650) 593 - 1160 | Fax: (650) 593 - 1198