Patient Forms

We invite our patients to download printable PDFs of Premier Primary Care’s patient registration, past medical history forms and more.

Patient Registration Form
Medical Release of Information
Medicare Registration Form

We accept the following Insurance PPO Plans:

  • Anthem Blue Cross
  • Aetna
  • United Healthcare
  • Tricare
  • Blue Shield
  • Medicare
  • Delta
  • And most other PPO Plans

Cash patients will be required to pay in full at time of services; we accept most major credit cards, ATM cards, cash and personal checks. There will be a $25 fee on all returned checks.

We are privately owned and do not accept MEDI-CAL or CMSP.

We are not contracted with Blue Shield Healthy Families, Kaiser and do not accept Care Credit and most HMO plans. You may be seen at our clinic but full payment is expected at time of service.