Synergy CT Surgery Partnership is committed to clinical excellence and meeting your health care needs.

List of Insurance Carriers

Aetna Alliance Desert Physicians Alpha Care Medical Group Inc Beaver Medical Group Blue Cross Of California Blue Shield Brand New Day Buena Ventura Affiliated Physicians Care More Medical Group Chaffey Medical Group Choice Medical Group Cigna Direct Network Southern CA Fenix Health Medical Group Health Net Federal Services Hemet Community Medical Group Heritage Victorvalley Med Grp Horizon Valley Medical Group Humana Choice Care PPO Inland Empire Health Plan Inland Faculty Medical Group Kaiser Foundation Health Plan Inc La Salle Medical Associates Medi-Cal Medicare Northern Claims

My Family Medical Group Primecare Of Chino Valley Primecare Of Citrus Valley Primecare Of Corona Primecare Of Hemet Primecare Of Inland Valley Primecare Of Moreno Valley Primecare Of Redlands Primecare Of Riverside Primecare Of San Bernardino Primecare Of Sun City Primecare Of Temecula Qual Care Inc Regal Medical Group Riverside Medical Clinic Riverside Physician Network Scan Sharp Community Medical Group St Joseph Heritage Medical Group St Mary High Desert Medical Group United Healthcare Upland Medical Group Valley Physicians Network Inc Vantage Medical Group Village Health Op By Scan

Our Office Responsibilities

• We bill your primary and, if applicable, your secondary insurance company (e.g., Medicare, MediCal, HMO, PPO).
• We accept cash, checks, and major credit cards.
• We will send you a statement to notify you of any remaining unpaid balances once your insurance carrier has met their financial responsibility.
• Our billing company will send out a statement for any unpaid balance.

Patient Responsibilities

• Bring your driver's license (ID), health insurance card(s), and any authorizations to your first appointment.
• Inform our office of any changes with your insurance or health information.
• Be prepared for your co-pay, if applicable.

Patient Forms

The following form can be downloaded to your computer and printed at home. Filling out this form ahead of time will save you time at your visit. If you have any questions when completing the form, please do your best—the staff will assist you on the day of your visit.
- Information Release

Note: The above documents are in Adobe® PDF format. They require Adobe Reader to be viewed. If you do not have Adobe Reader, you can download it for free by clicking here.

In addition to the document above, please bring the following documents to your appointment:

• List of any current medications you are taking.
• Identification Card
• Insurance Card
• CD's of any current tests, such as Angiograms, Echocardiograms, CT Scans, PET Scans, etc.