Insurance and Forms
Insurance Information
What insurance do we accept?
| Aetna | Health Net |
| AlphaCare | Humana |
| Anthem Blue Cross of CA | IEHP |
| ARTA | Molina Direct |
| Blue Shield of California | Monarch |
| CalOptima | OSCAR Health Plan |
| Cigna | Talbert |
| Health Care Partners | United Health Care |
• Family PACT (can be qualified on-site)
• Medi-Cal
Have questions or need help signing up for Medi-Cal? We can help. Call us at (714) 922-2477.
We accept many private and public insurance plans. If you don't see your insurance listed (please call ahead for eligibility verification).
Payment Information
Fees are based on a sliding scale determined by the patient’s monthly income and number of dependents. We accept cash, all major credit cards, and in-state personal checks.
Medical Forms
Family PACT
To cover your services if you are without insurance.
Download Family PACT form - English | Spanish
Medical Records Release Form
To request your medical records be sent to Planned Parenthood or mailed to you by Planned Parenthood please fill out a HIPAA release form.
Download medical records release form:
English | Spanish | Vietnamese
CalOptima: COVID-19 Vaccine Member Health Reward
CalOptima members 16yr or older are eligible to receive a $25 gift card for each of the two COVID-19 vaccine doses or one for the single dose. Members must be eligible on the date of service. Members in long-term care, PACE or enrolled in Kaiser are not eligible. No form is required and cards will be sent once CalOptima confirms through the California Immunization registry.
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