Filling out these forms ahead of time will help save time when you come for your appointment. All the forms below are available in Adobe PDF format.
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New Patient Info
Spanish Forms - Formas españolas
Nuevo Cuestionario del Paciente
Información del Paciente
We accept all major PPOs, POS and EPO plans.
We accept Santa Clara Family Health Plan,Healthy Kids, Healthy Families and Medical.
We are a member of Physicians Medical Group of San Jose.
If you have any questions regarding your health plan acceptance, please call our office.
We accept cash, check or credit cards (Visa and Master card only) for our services. If you are covered by insurance, we will bill your insurance company.
Our billing is done by Med Account Services. For any billing questions, please call Med Account at (925) 484-1395.
English, Spanish, Tamil, Kannada, Telugu, and Malayalam
Monday to Friday
9 am to 12 noon
2 pm to 5 pm.
Our offices are closed on weekends.
155 North Jackson Ave. Suite 101
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