spacer spacer
spacer spacer spacer
spacer
spacer
 

Office Information

 
spacer
spacer spacer spacer
spacer
spacer
spacer
spacerHome
spacer
spacerOur Doctors
spacer
spacerOur Services
spacer
spacerOffice Information
spacer
spacerPatient Forms
spacer
spacerPrescription Assistance
spacer
spacerContact Us
spacer
spacerInformation Resources
spacer
spacerPatient Portal
spacer
spacer
spacer
spacer
Test Results

 
To check results of your Pap Test (if you have used LabCorp)
Call 888-567-8723 or go to www.LabCorp.com/patientinfo
(you will need your SSN, DOB, and the date the specimen was collected)

 
Office Policies

 
Refills should be called in by your pharmacy and we ask that you give us 24-48 hours for routine prescriptions. Simply have your pharmacy fax us at (408) 996-3550. You may call your pharmacy to check the status of your refill. Routine prescription requests are not accepted after 5pm or on weekends.
 
Patients that need a written prescription for mail order, should speak to their provider's Medical Assistant.
 
If you are more than 15 minutes late for your appointment, we will have to reschedule you.
 
You must be able to pay for your visit or copay at the time of the visit. We accept cash, check, Visa, Master Card and Discover.
 
You need to bring your valid Insurance card, photo ID and any paperwork needed to your appointment.
 
If you schedule an appointment with our office and need to cancel please do so within 24 hours of the appointment. Failure to do so will result in a $40 charge.
 
Completing forms for camps, schools, employers, license renewals, extended care facilities, and others not mentioned. (If office visit is necessary to complete specific information on these forms, there will not be a charge for completing the form.) $40.00
Writing and dictating letters for an airline reimbursement in the event of illness, for employers, excuse from jury duty, selective surgery, or any other reasons for a letter. $40.00
Filling out handicapped parking forms $40.00
Filling out forms for mail order pharmacies $10.00
Copying of medical records
Medical Records Release Form
$25.00 & up
These above services/charges are not billed to Insurance.
 
Writing of Triplicate's will be a minimal office visit charged to your Insurance if you have a copay that will be collected at the time the Triplicate is given.
 
sub_line
Insurance Information

 
We accept many private insurance plans (PPO) and belong to Santa Clara County Individual Practice Association/SCCIPA (HMO). If you are on an HMO plan you need to make sure you are assigned to one of your physicians. At the time of the visit, we require a copy of your insurance card, any co-pays due, and valid photo ID. If insurance information cannot be verified at time of visit, payment is due in full for services rendered that day. For more information on Insurance plans visit http://www.cmanet.org/publicdoc.cfm/5
 
Some Insurances we do accept:
  • Cigna
  • Definity Health
  • Great West
  • Guardian
  • Health Net
  • Nippon Life
  • Operating Engineers
  • Pacificare
  • Principal Life
  • Secure Horizons
  • Teamsters
  • UFCW
  • United Health Care
  • Valley Health Plan
sub_line

Appointment Information

 
Please be on time to your appointment. The time of your appointment starts when you check in with the receptionist.
 
sub_line

What to bring to your Appointment
  • Insurance card
  • Photo ID
  • Completed forms
  • Method of payment
  • List of medications, including over the counter medications and vitamins
  • Questions for your provider
  • Any records or documentation from previous medical care
sub_line
 
spacer
spacer
spacer
spacer spacerCopyright © 2009-2015 Blue Hills Medical Group, All rights reserved. 
Site design & host:
NeuronLinks, Inc.
 
spacer
spacer