New Patients

New patients are asked to arrive 15 minutes early to complete paperwork. Please bring to your appointment the completed forms, a list of all medications you currently take, recent copies of x-rays, lab results, and your insurance card.


We will submit claims to most major insurance carriers. Please bring your insurance card and I.D. with you to every visit so we can ensure that our records are accurate.

We recommend that you call your insurance company to verify that we participate with your plan.

Please notify us if you have any change in your name, phone number, address, or insurance as soon as it occurs. And please be prepared to present your insurance card at every visit.


We require payment of your co-payment and past-due account balances at the time of service. We accept cash, checks, debit cards, and all major credit cards.

Cancellations or Rescheduling

To better serve the needs of all our patients, we ask that you call at least 24 hours in advance to cancel or reschedule appointments. We make every effort to stay on schedule, although emergencies arise.

Refill Requests

We are happy to help with refill requests during regular office hours, so please call us at (559) 449-9990 to let us know what you need.

After-Hours & Emergencies

If you are experiencing a medical emergency, dial 9-1-1.

Patient Information

We are ready and eager to assist you with questions about your care, so please contact us at (559) 449-9990 so we can determine how best to provide you the information you need.

Your Patient Rights

We respect our patients’ dignity and pride. If you have any questions, please contact any member of our staff. Our commitment to you, our patient, includes the following rights. We comply with applicable Federal civil rights laws and affirm that we will deliver high-quality health care to every patient without regard to age, gender, disability, race, color, ancestry, citizenship, religion, pregnancy, sexual orientation, gender identity or expression, national origin, health condition, marital status, veteran status, payment source or ability, or any other basis prohibited by federal, state, or local law.

Considerate and Respectful Care

  • Fair, high-quality, safe and professional care
  • Care regardless of color, race, religion, creed, etc.
  • Consideration, respect, and recognition of you and your individuality
  • Treatment privacy
  • Safe environment
  • Ask for (except in emergencies) a person of the same sex to be available for any part of an exam, treatment or procedures performed by a person of the opposite sex
  • Not be undressed any longer than needed for the exam, test, procedure, or other reason
  • Private and discreet consultation, exam, and care. See Notice of Privacy Practices (NOPP) for the full list of privacy and security of health information/medical record rights
  • To wear appropriate personal clothing and religious or other symbolic items, as long as they do not interfere with your treatment or diagnostic procedures

Health Status and Care

  • Be informed of your health status in terms and / or language that you, your family, and caregivers can be expected to understand
  • Take part and be active in your care and treatment plan
  • Participate in decisions in your care, unless your doctors or others believe it is harmful to you
  • Know, be told, and understand:
    • the names, roles, and qualifications of your health care experts that provide your care
    • your follow-up care
    • risks, benefits and side effects of all medicines and treatment procedures for your diagnoses
    • innovative or experimental medicines and treatment procedures of diagnosis offered
    • alternative treatment options offered
    • your procedure and to “give informed consent” before it begins
    • possible outcomes of your care and treatment
    • the assessment and management of your pain
  • When and if the Practice recommends other health care institutions:
    • to participate in your care
    • to know who these other health care places are and what they will do
    • to refuse their care
  • Get help from the doctor and others for follow-up care, if available
  • To change providers or get a second opinion, including specialists at your request and expense

Decision Making and Notification

  • Choose a person to be your health care representative or decision-maker
  • Exclude those you do not want help from or to join in your care or decisions
  • Ask for, but not have the right to demand, services the Practice does not think are needed or appropriate
  • Refuse treatment
  • Be included in experimental research only with your written consent
  • Refuse experimental research including new drug and medical device investigations
  • Receive the information necessary to approve a treatment or procedure
  • Give consent to a procedure or treatment

Access to Services

  • Receive free services of a translator, interpreter, or other necessary services or devices to help you communicate with the Practice in a timely manner (i.e. qualified interpreters, written information in other format or languages, etc.)
  • Bring a service animal except where prohibited pursuant to Practice policy
  • Have access to our facility buildings and grounds in compliance with The Americans with Disabilities Act, a law that stops discrimination against people with disabilities. The ADA policy is available upon request
  • Prompt and reasonable response to questions and requests for service
  • If you need any of the above services, contact the Practice management team at (559) 449-9990.

Ethical Decision

Talk to and join in with your doctor about:

  • conflict resolutions
  • withholding resuscitative services
  • foregoing or withdrawing life sustaining care
  • investigational study or clinical trials

Know that if your health care expert decides your refusal to accept treatment prevents you from getting the right care (as stated by its ethical and professional standards), it can end the relationship.

Payment and Administrative

  • Review your health care bill regardless of your ability to pay it or the payment source
  • Receive information about available financial resources
  • If uninsured, to receive, before the provision of a planned nonemergency medical service, a reasonable estimate of charges for such service and information regarding any discount or charity policies for which the uninsured person may be eligible.
  • Know if the Practice, doctors and other team members accept Medicare, the government’s health insurance for those aged 65+ or disabled
  • Know and understand the Medicare charges for your services and treatment provided
  • Receive if you ask, with explanation, a reasonable estimate of your health care charges before treatment
  • To be free from any requirement to purchase drugs, or rent or purchase medical supplies or equipment from any particular source (specifically in accordance with the provisions of the CA Section 1320 of the Health and Safety Code) and also to receive patient choice in these type of decisions

Your Responsibilities as a Patient

You are an important and active member of your care plan. You have certain responsibilities to yourself and to your care team.

In the spirit of shared trust and respect, we ask you to:

  • Give true and complete information about your:
  • Health status
  • Medical history
  • Hospitalizations
  • Medicines
  • Other matters about your health
  • Contact information, family members and caregivers and other needed information

Let us know:

  • Any risks about your care
  • Changes in your care, illness, or injury
  • Safety concerns
  • Violation of your patient rights
  • If you understand your care plan and what we expect from you
  • If you don’t understand your care plan or its information
  • If you have or need to ask questions

Please make every effort to:

  • Follow your care plan and instructions created by your doctor, nurses or other health care team members
  • Keep appointments and, if you cannot make your appointments, let us know at a minimum 24 hours before your appointment
  • Be responsible for your actions if you refuse