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Policies and Forms


Patient Forms:

Brief Patient History Form AARC

Patient Financial Responsibility form AARC

Authorization to release healthcare form AARC

IV Therapy Consent Form

HIPAA Compliance Patient Consent Form

No-show/late cancellation policy

Physician-Patient Arbitration Agreement

Telehealth Patient Consent Letter


Late Cancellation and Missed Appointment Policy:

This policy has been established to help us serve you better.It is necessary for us to make appointments in order to see our patients as efficiently as possible. No shows and late-cancellations cause problems that go beyond a financial impact on our practice and delay the delivery of healthcare to other patients.

A "no show" is missing as a scheduled appointment. A "late cancellation" is canceling an appointment without calling us to cancel 24 hours in advance of an office visit.

We understand that situations such as medical emergencies occasionally arise when an appointment cannot be kept and adequate notice is not possible. These situations will be considered on a case by case basis.

A charge of $25.00 will be assessed for each no show or late cancellation office visit appointment if less than 24 hours notice is given.

Please understand that Insurance companies consider this charge to be entirely the patient's responsibility.


Payment Options:

We accept all major credit cards, cash and personal checks.


Useful Links:

Featured Insurance Plans

We accept most insurance plans, including most PPO's, Blue Shield, Anthem, Cigna, and Medicare. We also accept many IPA’s, including AppleCare, CareMore, Accountable, Regal, Healthcare LA, Global Care, Optum, and many more.

Alignment Health Plan
Providence Health Plans
Regal Medical Group
United Healthcare


Advanced Arthritis and Rheumatology Center
17100 Norwalk Blvd., Suite 101
Cerritos, CA 90703
Phone: 562-232-9420
Fax: 562-860-5959

Office Hours

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