Patient Information

Our Office Policies

We look forward to seeing you on your scheduled appointment date. If you are a new patient, information is being sent to you in an effort to streamline the check-in process and answer any questions you may have regarding your visit. We will be contacting you a few days prior to your appointment to confirm the appointment date and time, pre-register your demographic information. When you check-in for your appointment, we will need to copy your insurance card(s) in order to bill your insurance company.

Office Hours

For information or to schedule an appointment, please call us at 909-981-5882.

Appointments & Cancellations

With the exception of serious emergencies, it is expected that you keep all of your appointments. If you need to reschedule an appointment we require 24 hours notice. In such a case, please call our office and arrange for a make-up appointment with one of our patient care coordinators.

To schedule an appointment please call us at 909-981-5882. We understand that your schedule may change and that emergencies arise. If you are unable to keep your appointment, we ask that you provide us with 24-hour notice. Please extend us this courtesy so that other patients may be seen.

Emergencies

Our office provides on-call service for emergencies. Call 909-981-5882 so that the physician on call can be contacted.

Call us at 909-981-5882 anytime. One of the doctors in the group is always available for advice or care for true emergencies. After office hours, our answering service will take your message and immediately contact one of our doctors. Our telephone number is answered 24 hours a day, 7 days a week.

Payment

The Nephrology Associates of Upland and Pomona accepts cash and personal checks as well as the following credit cards:

• Visa
• MasterCard
• American Express
• Discover
• Personal Check
• Visa
• MasterCard
• American Express
• Discover
• Personal Check
• Visa
• MasterCard
• American Express
• Discover
• Personal Check
• Visa
• MasterCard
• American Express
• Discover
• Personal Check
• Visa
• MasterCard
• American Express
• Discover
• Personal Check

We make every effort to decrease the cost of your medical care. Therefore, we request payment arrangements for all office services at the time they are rendered unless prior arrangements have been made. We accept cash, checks, MasterCard, Visa, and Discover for your convenience. If we are a participating provider of your insurance company, we will bill them. However, payment is the patient's responsibility. We will help in any way we can to assist you in handling claims.

Patient Forms

The Nephrology Associates of Upland and Pomona provides our patients with office forms for your convenience. We recommend you print and fill these forms prior to your appointment to save time.

• Patient Registration
• Medical History
• X-ray Records Release
• HIPAA Compliance
• Consent
• Financial Agreement

Note: These files are in PDF format. If you do not have Adobe® Reader® on your computer, you can download it for free by clicking here.

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