Forms & Payment
Accepts new patients
| Medicare | Medicaid | Workers' compensation | Other |
|---|---|---|---|
Medical insurance plans and payment options
Blue Shield, Health Net, and others. Please call for comprehensive, current information
Please call for all available options
Office information from Alberto A Bolanos, MD
HIPAA PolicyFederal regulations require this to be distributed to all patients.
Registration form
This registration form is available for your convenience. Bring the completed form with you on your initial visit in order to expedite the registration process.
Release of Medical Records Authorization Form
This is the form needed to authorize the release of your medical records to a third party.