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FORMS

Medical form with stethoscope

NEW PATIENT FORMS

If you are a new patient, please read through and complete the following forms and bring them with you to your first visit.

INJURY SPECIFIC INTAKE FORMS

Also, please read carefully and complete one of the following intake forms relating to your area of injury or diagnosis and bring them with you to your first visit.

ACCEPTED FORMS OF PAYMENT

We offer cash pay services at competitive prices, please contact us for additional information.

We are also in-network preferred providers for almost all PPO/EPO insurance plans in California, including:

  • Aetna

  • Blue Cross

  • Blue Shield

  • Cigna

  • Great-West

  • Healthnet

  • Medicare

  • UMR

  • United Healthcare

  • Military & Veterans (Tricare)

And many more - contact us if you have any questions

WORKERS' COMPENSATION, MEDICARE, AND OUT-OF-NETWORK BENEFITS

We are also Medicare certified and accept Workers' Compensation insurance plans. We also accept most out-of-network benefits for other insurances. Please contact us for more information.

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