New Patient Information

Welcome to our Practice!

We encourage you to review this information as it will assist you with the office protocol and may answer questions prior to your appointment.

Schedule an Appointment

Phone
Online Form

New Patient Forms - Pasadena Office

Use the link below to download the form you will need at your first appointment:

Patient Information Form
Patient Medical History
Patient Payment Policy

New Patient Forms - Arcadia Office

Patient Information Form
Patient Medical History
Patient Payment Policy

Learn more…

Use the links below to learn more about each of the following:
Appointments
Telephone Calls
Prescription Refills
Billing, Insurance & Fees
Confidentiality
Parking

Appointments

A new patient visit or consultation may take up to half hour. A new patient is asked to arrive 15 minutes prior to your scheduled appointment for the proper completion of paperwork. Follow up visits usually do not take more than 20 minutes. If you feel you need to be seen sooner than the offered appointment please advise the receptionist of your urgency and your call will be directed to the doctors medical assistant to try to accommodate you at an earlier date or time.

You are urged to keep your appointments. If you are unable to do so, please call our office and reschedule at the time more suitable for you. By doing so, you will allow this time to be available to another patient who would like to be seen by your doctor.

We respect your time and will make every effort to honor your appointment and avoid prolonged waiting, but occasionally your doctor may be delayed. If this happens the patient may be given the option to reschedule or wait for the physician.

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Telephone Calls

The following suggestions about the telephone system in our office will assure fewer inconveniences and achieve the best communication with our office:

• Our medical receptionist will be available from 8:30 – 5:00. If you wish to contact the office for an appointment please do so between these hours.
• If your call pertains to medical information, reports, one of the assistants will provide you with the requested information upon discussing it with your doctor. If your problem is more complex and it requires the evaluation of your records by your doctor, you will be called as soon as possible.
• Our routine calls to you are often done late morning or by late days end. Please provide a phone number where you can easily be reached. Also, it is advisable to have the pharmacy telephone number readily available when you call us or you may request that the pharmacy call us regarding refills.

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Prescription Refills

Prescriptions will generally be refilled only during office hours. If you need a drug prescription refilled, simply call your pharmacist and give the name and dosage of the medication. Then ask the pharmacist to call our office for authorization.

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Billing, Insurance & Fees

Payment is customarily expected when services have been performed. When you have insurance, please notify the receptionist first so that the proper forms may be filled out and billing procedures explained. It is your responsibility to familiarize yourself with your specific insurance plan and notify our staff if you are required to use a specific doctor, lab or hospital.

Because there are so many plans, it is impossible for our staff to know your individual insurance plan, but please feel free to ask any questions about insurance and fees with our billing office at (626)795-7036.

Insurance plans currently accepted include:

• Blue Cross Blue Shield
• Principle
• Aetna US Healthcare
• Cigna
• Amerihealth
• Medicare
• United Health Care

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Confidentiality

Your medical record is strictly private. No information in reference to your condition will be disclosed to your employer, friends or relatives without your consent, per HIPAA regulations.

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Parking

Parking is located at an adjacent parking structure near our facility. Parking for this building is validated to a flat rate of $5.00.

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