Japan Town Medical Group

Patient Information


     Appointments

Appointments may be made by calling the office during business hours at (408) 293-JTMG (5864). Web-based self appointment scheduling will soon be available.

     First Appointments

Please bring an ID [drivers license] and insurance card. Forms [available below] can be filled out in advance or at the time of visit. It is our policy that co-payments need to be collected prior to the patient leaving the office. Payments can be made in cash, check or credit [sorry, no Discover Card accepted]

     Forms

As with all medical offices, patient information forms, financial/insurance information forms and acceptance of our privacy policies will need be to completed before seeing any of our doctors. [Adobe Acrobat is required to view these documents]

Patients with Adobe Reader/Acrobat 7.0 or higher, the Patient Registration from can now be completed in Adobe Acrobat/Reader. No more writing! Download our new form, just complete it, print it, sign it and bring it!

     Patient Registration Form - for patients with Adobe Reader/Acrobat 6.0

     Patient Registration Form - for patients with Adobe Acrobat/Reader 7.0 or higher

     Eligibility Guarantee

     Notice of Privacy Practices

     Acknowledgement of Receipt of Privacy Practices

 

     Parking

There are 17 spots allocated for JTMG patients in the Miraido Village parking lot located behind the practice.

     Insurances

We accept Most PPO & HMO (Santa Clara County IPA) Insurances & Medicare. Click here to see a list of insurances that we accept.

     Self-pay Patients

Yes, we accept patients paying with cash or looking for an out of pocket secondary consulation. [Kaiser patients]