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 Form


Some of the Insurances We Accept:

 

Aetna
Blue Cross
Blue Shield
Cigna
Healthnet
 Medi-Care
 Tri-Care/Tri-West
United Health Care

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


Frequently Asked Questions:

Q: Do you accept my Insurance?

A: We accept most forms of medical insurance including private, HMO, PPO and Medi-Care and if your insurance is not listed we will be more than happy to check for your particular plan. If we are not a provider, then we will look into becoming one in order to better serve our community.

Q: When can I schedule an appointment?

A: Our flexible hours usually allow us to accommodate most patients into our schedule immediately or within 24 hours. If you have special needs please ask our staff and we will do our best to assist you. Please call our office to make an appointment.

Q: What languages do you speak?

A: We are fluent in English, Spanish and Persian (Farsi). If you speak another language we are able to provide translation via our telephone operator.

Q: Where are you located?

A: Please click here for contact info and driving directions.

Q: What specialties do you practice?

A: We treat most orthopaedic musculoskeletal conditions including injuries or pain involving the shoulder, elbow, wrist, hand, hip, knee, ankle and foot. We perform sports medicine, arthroscopic surgery, joint reconstruction, and joint replacement, arthritis surgery, and many more. Please click on the Link to our patient education site for more information.


Facilities / Hospitals

  • Doctor’s Hospital of West Covina | West Covina, CA
  • Citrus Valley Medical Center/Queen of the Valley Hospital / West Covina, CA
  • Inter-Community Hospital / Covina, CA
  • Monrovia Memorial Hospital / Monrovia, CA
  • Los Angeles County / University of Southern California (LAC/USC) | Los Angeles, CA
  • St. John’s Hospital in Santa Monica, CA