Patient Information

Patient Forms

The following forms can be downloaded to your computer and printed at home. By filling out these forms ahead of time you will save significant time at the time of your visit. If you have any questions when filling out these forms, please do the best you can, our staff will assist you with your questions on the day of your visit.

Please printout and complete the appropriate forms:

• Patient Information
• Medical History
• Medication Policy
• Release of Medical Records
• Orthopedic Patient History
• Patient Preference – Communication of Health Information
• Patient Financial Policy
• Minor Authorization

note: The above documents are in Adobe® PDF format. They require Adobe Reader to be viewed. If you do not have Adobe Reader, you can download it for free by clicking here.

Insurances We Accept

Aetna	Humana
Beech Street	Lakeside
Blue Cross	Medi-Cal
Blue Shield	Medi-Care
Cigna	Pacificare
Corvel Healthcare	Physician Healthways
Coventry Health	South Atlantic Medical Group
Eastland / West Covina Medical Group	Tri-Care/Tri-West
First Health	Tri-Star
Great West	Unicare
Healthnet	United Health Care
Hispanic Physicians

If your insurance is not listed above, please contact us for further information by clicking here. We would be happy to assist you!