Susan Biegel MD

New Patient Forms and Insurance Data

Many of our patients tell us it is easier for them to download, print, and fill out forms rather than doing it in the office, creating additional delay. For this reason we are providing these forms here for your convenience. Please call us with any questions you may have regarding any of these forms. We look forward to serving your needs!

We accept cash and many insurance plans including:

• PPO
• Railroad Medicare
• Cigna
• Aetna
• Blue Shield
• Blue Cross
• United Healthcare
• Pacificare
• Humana
• Tricare / Triwest
• United Food and Commercial Worker's Welfare Fund

• Operating Engineers
• ILWU
• Symetry
• Prudent Buyer
• Medicare
• Medical
• Regal Medical Group
• Inland Valley Medical Group
• Alphacare Medical Group
• IEHP
• Cash

• New Patient Form and Insurance Data Download