Rodney Wong MD ABOUT US CONTACT US PATIENT INFO & FORMS PATIENT EDUCATION PREPARING FOR YOUR APPOINTMENT ... 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! Rodney Wong MD 650-967-7249