As a courtesy we will accept your insurance assignment, as soon as your coverage is verified. We will file your claim forms and assist you every way we can. If you would like us to check your benefits please call us at (858)450-0196 with your:
- Contact information
- Date of birth
- Insurance company name
- Customer service telephone number
- Insurance ID#
You can also fax your information to our office at (818)665-7277.
Download Intake Forms
For first-time patients you will be asked to fill out intake forms when you arrive for your initial appointment. If you would like to expedite your waiting time at our office you are welcome to download, print, and complete these forms prior to your arrival. Please bring any completed forms with you to your appointment.
|Form: Patient History (Page 1 of 2)||.DOCX|
|Form: Patient History (Page 2 of 2)||.DOCX|
|Form: Financial Agreement||.DOCX|
|Form: Treatment Consent||.DOCX|