Miller Orthopaedic Affiliates, P.C.
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Patient Registration

Below is a listing of different patient registration forms. To view the different forms, simply click on the links below. If you do not see a category that best fits you, please select “All Other Patients”.

You will also need to bring your insurance card (your co-payment fees) and your drivers license with you. If you are a minor (under 18 years of age), a legal guardian must be present or have these forms filled out and signed before your appointment.


Serving Council Bluffs/Omaha and SW Iowa
© Copyright 2011 Miller Orthopaedic Affiliates, P.C. All rights reserved.
HIPAA NOTICE | Locations | 712-323-5333
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