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To expedite your initial visit, please print, fill out and bring along the patient information sheet.
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DOWNLOAD THE PDF FILE BY
CLICKING HERE.
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( REQUIRES ADOBE ACROBAT READER.
CLICK HERE TO DOWNLOAD )
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CLICK HERE TO DOWNLOAD IN MICROSOFT
WORD FORMAT
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Valet parking is available in the building for $2 per 15 minutes, maximum $16 per day. There is also a parking structure behind the library on San Vicente that is less expensive. Metered parking is available on San Vicente for $2 per hour. There is free 2 hour parking on Bundy and Montana and on Saltair near Comerica Bank.
To further expedite your visit, bring us the following information: your co-payment amount, your annual deductible and co-insurance information. Please click on your insurance carrier link to view your Basic Eligibility Information with Coverage
http://www.bluecross.com/
http://www.blueshield.com/
https://www.blueshieldca.com/bsc/home/home.jhtml
http://www.cigna.com/
If you do not find your insurance carrier listed above please look on your insurance card for their website.
If you are unable to locate your co-payment, deductible and co-insurance information, please call your insurance company to get that information before coming into the office.
Thank you
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