FNA Patient Forms & Information

Our patients are the most important thing to us. That is why we make an effort to streamline the entire process, so you can focus on your normal life. Our promise is to treat patients with the utmost care and make the procedures as quick and comfortable as possible.
We understand that medical information about you and your health is personal, and we are committed to protecting medical information about you.
For billing and insurance questions, please call our office at (310) 702-6701.

Downloadable Forms

You can download these forms and print them out before your appointment, or fill them out in our office.

• Registration Form (download)
• Consent Form (download)
• Privacy Practices Form (download)
• Insurance and Credit Card Authorization Form (download)
• Records & Slide Release Form (download)

Participating Insurance Carriers

• Aetna
• Anthem Blue Cross/SAG-AFTRA
• Medicare
• MultiPlan
• HealthNet
• United Healthcare

Non-contracted Insurance

Carriers Policy Our policy for out of network carriers is to bill all non-contracted insurance carriers as a courtesy to our patients; however, patients may be subject to a higher out-of-pocket expense. We believe in providing the best possible care and we will work with the patient to establish a reasonable payment plan.

Notice to Consumers

Precision Aspiration & Biopsy physicians are licensed and regulated by the Medical Board of California. (800) 633-2322 mbc.ca.gov