COMPASSION - CARE - RESPECT
626-956-8009

PATIENT FORMS

Here are the forms needed for your first visit. If you would like, you can print and fill out these forms and bring them to your first visit. Otherwise, please arrive at your appointment 30 minutes early and we will provide them for you upon arrival.

We Accept The Following Insurance

HMO/IPA Contracts

  • Advantage Care IPA
  • AIDS Healthcare Foundation
  • Allied Physicians IPA
  • Angeles IPA
  • Beverly Hospital Medical Group
  • Cal Optima Direct
  • CareMore
  • Central Health
  • Citizens Choice Health Plan
  • Employee Health Systems Medical Group (EHS)
  • Healthcare Partners Medical Group
  • AltaMed Health Services
  • Hispanic IPA
  • Interplan/Health Smart
  • L.A. Care Health Plan
  • Magan Medical Group
  • Pacific Alliance Medical Group
  • Physicians Healthways IPA
  • Positive Health Care Partners
  • Prospect Medical Group
  • Regent Medical Group
  • SynerMed

PPO Contracts

  • Aetna
  • Beechstreet
  • Anthem Blue Cross
  • Blue Shield
  • ChoiceCare
  • Cigna
  • Corvel
  • Coventry/First Health
  • Galaxy Health Network
  • Great West
  • Humana /Choice Care
  • Medi-Cal
  • Medicare
  • Multiplan PHCS / Physicians’ Care
  • Tri-West/Tri-Care
  • United Healthcare

New contracts updated regularly any questions please call our office (626) 956-8009. All other PPO Insurances accepted with OON benefits or a prior agreement can sometimes be made with Insurance Company.