Valley Pediatric Medical Group, Inc.:Insurance and Forms

5353 Balboa Blvd
Suite 104
Encino, CA 91316

(818) 789-7181

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Insurance and Forms

Valley Pediatric Medical Group is contracted with most PPO and POS plans. Please bring your child's insurance card to every visit, and notify us immediately if there have been any changes.

As a courtesy, our business office will bill your insurance for you. We require that you pay any co-payments/co-insurance at the time of service. It is your responsibility to know what your insurance plan covers before you see the doctor.

For your convenience, please print and complete applicable forms and bring with you to your first visit.

HIPAA Privacy Practice Form

Patient Registration Form

Request of Records

Important Disclaimer: The information on valleypediatrics.net is provided as a supportive service to Valley Pediatrics Medical Group, Inc and is not meant to replace the advice of the physician who cares for your child. All medical advice and information should be considered to be incomplete without a physical exam, which is not possible without a visit to your doctor.

Copyright 2008 Valley Pediatric Medical Group, Inc. All Rights Reserved.

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