Patient Info

Patient Resources

Free fitness, yoga and health education classes for all patients are available through Regal Medical Group.

Patient Classes and Events

 

New Patient Registration

New patients need to fill up a “Patient Registration Form”.

You can fill up the form when you are in the office. To save time, you can print the form below, fill it up and bring with you for your first appointment.

Patient Registration Form

If you want your previous doctor to send us your medical records, then please fill up the attached form and give it to your previous doctor.

Authorization for Release of Medical Information

Insurance Information

Each patient is responsible for knowing his or her insurance plan’s benefits, co-payments, deductibles, restrictions and non-covered services. Patients are also responsible for providing updated insurance information and any changes to the practice in a timely manner. The practice accepts many insurance plans in the area. Some of these are mentioned below. This is not a complete list. If your insurance plan is not in the list below, please call us and check.

HMO Plans

All Medicare Advantage Plans with IPA – Regal Medical Group or Lakeside Medical Group

All Commercial Plans with IPA – Regal Medical Group or Lakeside Medical Group

Medi-CAL Plans with IPA – Regal Medical Group or Lakeside Medical Group

PPO Plans

Medicare

Aetna

Blue Cross

Blue Shield

CIGNA

Health Net

Pacificare

TriCare

United HealthCare

Copyright © 2020-2022 Manjula Jain MD, Inc.

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