logo
ok

Referral

If you are suffering from pain, talk to your doctor about a referral or call us for more information at (408) 364-6799. This referral can come from the patient, a primary care physician, another medical specialist or a workers' compensation attorney or carrier. We evaluate each referral to determine the most appropriate type of consultation with our clinical staff. We ask each referral to provide our office with the most complete medical history available, including progress notes, imaging and diagnostic reports. We also need patients' demographic information so we may contact the patient. If the patient is covered by workers' compensation we request authorization be obtained and faxed along with the referral.


When our office receives the necessary medical information, we will contact the patient for a consultation. Patients will receive a packet of information in the mail, or they can download information from our web site. In order for our physicians to fully assess each patient's history, it is important for the paperwork to be completed before the initial consultation. At the consultation, the physician and the patient will discuss a treatment plan. We do not prescribe medication at the initial consultation. Follow-up appointments, injections or other procedures will be scheduled after the initial consultation.

To make an appointment for a new patient, please contact Marcia Euphemie at:

Bay Area Pain & Wellness Center
15047 Los Gatos Boulevard, #200
San Jose, CA 95032
Phone (408) 357-7659
Fax (408) 378-4510

Insurance

We strive to assist each patient referred to our practice. We currently participate with the following insurances:

Point of Service (POS) Plans
• Aetna Quality POS & Managed Choice
• Blue Cross Plus
• Blue Shield
• CIGNA
• Health Net
• PHN/Health Net Select


Medicare + Choice Plans
• Health Net - "Seniority Plus"


Worker's Compensation MPN'S (Medical Provider Networks)
• First Health MPN
• KOJ
• State Comp (SCIF) MPN
• Corvel MPN


To see our complete list of Insurance Providers, please click here to download.

PPO Plans
• Admar Med Network
• Aetna Open Choice
• BCE Emergis - Benefit Panel Services (BPS)
• Beech Street/Capp Care
• Blue Shield
• ChoiceCare Network - Humana
• CIGNA
• Community Care Network (CCN)
• Great West Life PPO
• Health Net PPO
• Interplan
• Multiplan
• Pacific Health Alliance (PHA)
• Preferred Health Network (PHN)
• Student Insurance PPO


Payment must be made at the time of the visit or prior to any procedures or interventional therapies. All patients are responsible for co-payments at the time of service.

Forms

Our center is committed to providing the highest level of patient service. From its inception, our clinicians have placed an emphasis on providing medical services that make sense from the patient's perspective.

Please click and download the following forms to expidite your introduction and entry process with us. Below is a list of some of our standard forms and informational handouts. All items require Adobe Reader - if you do not have this free software installed on your computer, you can download a copy by CLICKING HERE.


• Referral Form
• Patient's Bill of Rights

For a complete listing of all forms please go to our FORMS page.