New patients text “Appt” to 714-377-4314 to schedule an Evaluation! 

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New Patient Forms

Save some time during your initial consultation and fill out these new patient intake forms online. Please remember to arrive 15 minutes early to your first appointment, and bring your ID and insurance card (if applicable) with you. If you have any questions, please contact our office at any time. We’re here to make this process as simple as possible for you. 

Once scheduled, you will get an email and text to fill out the patient intake form.

Insurance Information

At Repair SI, we are in partnership with most major PPO insurance plans in California, including HSO, Workers Comp and personal injury cases. We have a current partnership with the following insurance providers:

If you do not see your insurance carrier listed, please contact our front office. We also offer self-pay options at a discounted rate, due at the time of service. Contact our team with any insurance or pay questions you have.

Insurance list

PPO:

  • Coastwise (ILWU)
  • Blue Shield
  • Blue Cross
  • Cigna
  • Aetna
  • United Health Care

And many other PPO health care plans

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