Insurance / Payments

Please call your insurance carrier to verify if we are a prefered provider for your plan prior to your appointment.

Our practice is contracted with most major PPO health insurance plans.

We are not contracted with Covered California Plans and BC/BS Off Exchange(Pathway) plans.

You are responsible for paying all fees, including co-payments, at the time of your office visit

  
For questions regarding your bill, please call our billing service at

1-800-626-2468   ext 110

Patient Forms

Access Patient Portal here to Pre-Register 

• please fill out the patient questionnaires(forms) on this portal to facilitate your first visit to the office.

Please notice that all new and established patients need to update information on the portal and fill out forms prior to their physical or preoperative exams. 

 Notice of  Privacy Practices

Patient Acknowledgement Form of Privacy Practices

Office Policy

• $35 No Show Fee will be charged for any missed appointment that was cancelled less than 24 hours prior to the visit. Please be considerate and call in advance if you are not able to come in.
• $25 fee will be charged for any bounced or cancelled checks.
• There is a 48 hour turn around for prescription refills.
• If you have not seen the physician in 3-6 months your prescription will not be refilled.