334 North San Mateo Drive

San Mateo, CA 94401

P: 650 558 1802

F: 650 558 1806

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© 2019 by San Mateo Spine Center

ABOUT YOUR VISIT

 

1.   Preparation for Your Appointment

 

For new patients, to better assist you upon your visit, please print and complete the new patient questionnaire, 

demographics, HIPAA, and financial policy forms below and present them to our staff when arriving for your appointment.

Call to make your appointment

650-558-1802

3.   Insurance Coverage

 

The following list includes some of the major policies we accept:

 

  • AETNA PPO

  • ANTHEM BLUE CROSS BLUE SHIELD PPO

  • UNITED HEALTH CARE PPO

  • HEALTH NET PPO

  • CIGNA PPO

  • HEALTH PLAN OF SAN MATEO PPO

  • CARE ADVANTAGE PPO/HMO

  • SEQUOIA PHYSICIAN'S NETWORK

  • MEDICARE

  • AUTOMOBILE ACCIDENT CLAIM

  • WORKER'S COMPENSATION

 

For any policies not listed above, please call our billing department at 650-685-9940 to see if your insurance is accepted.

2.  What to Bring

 

  • Health insurance information including authorizations or referrals

  • Identification and insurance cards

  • List of prescription medications and dosages

  • List of medications that you're allergic to

  • Recent test results related to your condition (including diagnostic imaging studies)

  • List of questions you may have

Medical Records

If you would like your medical records released, please download and fax the following completed and signed form to 650-558-1806. Please note that records request may take up to two full business weeks for completion.