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PATIENT FORMS & INSURANCE

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PATIENT FORMS

WE MADE IT

EASY FOR YOU!

We make it easier for you to fill out the Forms Online for appointments.

Most insurances work great at our office!  We are more than happy to send necessary claims to your insurance carrier to utilize any coverage.  Give our office a call so that we may help you coordinate any insurance benefits!

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Some insurance that do not work at our practice are:

  • ○ AETNA DMO (AETNA HMO)
  • ○ Anthem Blue Cross HMO
  • ○ Blue Shield DMO
  • ○ Cigna HMO
  • ○ Guardian HMO
  • ○ Healthnet DMO
  • ○ Humana HMO
  • ○ Premier Access HMO/Managed Care
  • ○ SafeGuard
  • ○ United Healthcare DMO

FINANCIAL INFORMATION

We accept most PPO and HMO insurance plans.

MAJOR CREDIT CARDS ACCEPTED

We accept all major credit cards including Master Card, Visa, American Express, and Discover.

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HEALTHCARE CARDS

We also accept Credit Care, “The financing option for health, beauty, and wellness expenses”, and Citi Health Cards.

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Request An Appointment

Please note that the date and time you requested may not be available. We will contact you to confirm your actual appointment details.

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Have any questions?

Please contact us or call (310) 391-8787 today.

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