Rodney Wong MD

Insurance Eligibility

Our office participates in most major PPO insurance plans. However, we suggest you verify your eligibility for services with your insurance company.

If you are a subscriber with the following insurance plans, you will need to obtain authorization in advance from your primary care provider or your case worker.

  • all HMOs
  • Tricare
  • Workers Compensation

Images and Records

If you have any images or records pertaining to your injury, please make sure you bring them with you, or ask your referring physician to send them in advance. It can take a week for records to be sent, so plan accordingly. Receiving images and records in advance will help the doctor and staff prepare for your appointment.

Patient Forms

Filling out forms prior to your scheduled appointment will save you time on the day of your appointment. Click on the appropriate links below to print out the forms. Bring the completed information with you to your scheduled appointment.

New Patient Forms Surgery Forms Other Forms

Registration Form

Patient Medical History Form

Payment and General Office Policies

Notice of Privacy Practices

Policy Patient Receipt

Surgery Guidelines

Pre-Surgery Medical Health Questionnaire

Surgery Medication Reconciliation

Surgery Cancellation Policy

Request for Copy of Records

Records Release Authorization Form

On your appointment day, please bring -

  • Insurance card(s)
  • Picture ID (e.g. drivers license)
  • Completed forms
  • Images (x-rays, MRIs, etc.)
  • Medical records related to your injury

 

We look forward to your visit!