Head & Neck Surgery
Facial Plastic & Reconstructive Surgery
Urology for Men
Urology for Women
Bladder Disorders
Sexual Dysfunction
BPH Related Conditions
Kidney Disease


Adult and Pediatric ENT Surgical Care

Patient Resources - About Your Visit

New Patient Information:

We look forward to meeting you on your initial visit to our offices and we want to answers as many of your questions as we can that day. In order to do so, we ask that you bring the following information listed below. If you have any questions or need any assistant obtaining medical records or exams from a previous physician or facility please contact our offices before your appointment.

Please bring the following the day of your appointment:

  • Health Insurance Card/Information
  • Insurance co-pay (cash/checks/Visa/MasterCard/Discover accepted)
  • A friend or family member to take notes/help with questions
  • A list of all medications you are taking
  • A list of your questions /concerns
  • A copy of your Imaging/Radiology exams(Please do not bring just the reports)
  • Copies of medical records relevant to your office visit
  • Completed forms
Entrust Medical Group x-ray

Patient Forms

Please download, print, complete and bring the following forms to your appointment.

Patient Information Sheet & Acknowledgement of Receipt of Privacy Practices
Patient Medical History
Patient Partnership Plan
Notice of Privacy Practices and Rights about your health information
A Message to our Patients about Arbitration

Español forma

Hoja Paciente De la Información
Historial Médico Paciente - 1
Historial Médico Paciente - 2
La nota de Prácticas de Intimidad y Derechos acerca de su información de la salud
Reconocimiento de Reciept de las prácticas de la aislamiento
Un mensaje a nuestros pacientes sobre el arbitraje

These forms require free Adobe reader software. Click here if needed.

Insurance Information

ENTRUST medical group is contracted with most PPO and private insurance companies. Listed below are a just a few of the insurance companies we are contracted with, if you do not see your insurance company listed, please contact our office.

  • Aetna HMO
  • Beech Street PPO
  • Blue Cross HMO/PPO
  • Blue Shield HMO/PPO
  • Cigna HMO
  • First Health PPO
  • Great West HMO/PPO
  • Healthnet HMO
  • Medicare
  • UnitedHealthCare HMO/PPO
  • Self Pay

All HMO healthplans must have a valid referral and must be affiliated with one of the following medical groups:

  • St. Joseph Hospital Affiliated Physicians
  • St. Joseph Heritage Medical Group

ENTRUST Billing Services

ENTRUST medical group prides itself on providing you with the highest quality of medical care; this is done by allowing our office to focus on you as a patient and MSM to focus on managing your account.

MSM has provided our office with outstanding medical billing for many years and stays current with the constant changes of insurance procedures and processes. They use a computerized system that is safe and secure and entrust accurate claims submission under HIPPA requirements.

For questions regarding your account, please call or click on the link provided to email an MSM representative (email questions will be answered within a blank period).

Medical Specialties Management
Main - (714) 571 5000


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