Thank you for choosing to complete your patient registration form on our
website. If you have any questions about our website form please call our
office at 517-394-3200 and ask for Sarina.
Please be sure to read the messages in each pop-up box: they give you
instructions about the web form.
Due to the security settings on our form you are unable to save your information
and come back to it later. As the form can be extensive we recommend you
have your medical history at hand when you complete your information.
The forms on our website are secure. This security can be evidenced on the
next page once you hit "Start" below. You should see "https" instead of just
"http" in the address bar and the gold lock at the end of the address bar to the
right or on the bottom of the page. If both of these are not visible when you go
to fill out your information we recommend you do not use the form but call our
office at 517-394-3200 and ask Sarina for assistance.
Feel free to print this page of instructions to use while you complete your forms.
If you provide us with an email address we will send you an email confirming we
received your forms.
East Lansing Orthopedic Association