Insurance-claim-form

insurance
plans

HMOs/PPOs Accepted

We Also Accept Medicare, Auto Accident and Personal Injury Plans

Because of the wide variety of available plans now available, we encourage you to call our office at
818-784-2278 to determine what your plan covers and how we might work with your insurance carrier to achieve your needs.

We're happy to contact your insurance provider then call you back with all the details, but...

In order to fully service your inquiry we will need the following information:

  • Full name
  • Date of birth
  • Phone number
  • Name of insurance carrier
  • Your ID┬ánumber
    (as shown on your health insurance card)
  • Phone number of carrier
    (from your health insurance card)