A message to our patients regarding COVID-19, Click here to read

inner-banner

Patient Resources

New patients are kindly asked to complete the new patient intake forms below prior to your visit or you may arrive 15-20 minutes prior to your scheduled appointment to complete the forms in our office.

Please Bring With You:

  • New Patient Paperwork
  • Insurance Card
  • Drivers License or ID
  • Related X-rays, MRIs, CTs, EMGs, or Tests
  • Copayment (Cash/Check/Major Credit Cards)
  • Patient Forms

Patient Forms

  • Policies & Payments
  • Patient Forms & Medical Records
  • Emergency Care & After Hours
  • Patient Education
  • Preparing for Surgery
  • Medication
  • After Surgery

Insurances

HMO’s (Authorization Required)

  • CalOptima (Medi-cal)
  • Molina Healthcare of California
  • Prospect Medical Group
  • Altamed
  • Caremore
  • PHCAS
  • Humana Gold
  • Health Net

PPO’s

  • Anthem Blue Cross
  • Anthem Blue Shield
  • Blue Cross Blue Shield
  • Anthem
  • United Health Care
  • UMR
  • Providence Health Plan
  • Nippon Life Benefits
  • Health Net PPO
  • Golden Rule
  • GEHA
  • Cigna
  • Aetna Signatures
  • Tricare

Medicare

Workers Compensation

  • ACCO Engineered Systems
  • ACM / CRMBC
  • Adminsure
  • AIMS
  • Alaska National
  • American Claims Management
  • Amtrust North America
  • Applied Risk Services
  • Benchmark Administrators
  • Berkshire Hathaway Homestate Co.
  • Broadspire
  • Chubb Insurance Companies
  • Church Mutual
  • Corvell
  • Coventry Health Care (First health)
  • ESIS
  • Farmers Insurance
  • Gallagher Bassett
  • Hartford Medical Management
  • Intercare
  • Joint Powers Insurance
  • Keenan Commercial
  • Liberty Mutual Insurance
  • LWP Claims Solutions
  • Marriot Claims
  • Madeta Service Operations
  • Mitsui Sumitomo
  • Patriot Risk Services
  • Republic Indemnity
  • Sedgwick
  • Sedgwick Claims Management
  • State Compensation – pending
  • The Gas. Co. / Align CA
  • The Hanover Insurance Group
  • Travelers Insurance
  • York Risk Services
  • Zurich American Insurance Company
  • Medex
  • Sompo America Fire & Marine Insurance
  • Southern California Edison Company
  • Conduent Insurance
  • Omaha National
Skip to content