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Patient Resources

About Your Office Visit

Please prepare for this by bringing:

  • Health Insurance Card/Information
  • A friend or family member, if needed, to take notes/help with questions
  • A list of all medications you are taking
  • A list of your questions /concerns
  • Copies of records from doctors related to your visit with us (if available).
  • Completed FORMS below (optional, may be completed in office).

Patient Forms & Procedure Instructions

Dr. Shields performs procedures at varying locations depending upon your insurance. The majority of procedures are performed in the comfort of the Waverley Surgery Center. Patients with Medicare are performed primarily at Stanford Hospital and some at El Camino Hospital. If hospitalization is required he admits his patients at Stanford Hospital.

To download the correct patient procedure instructions/forms - please click on the location that you will be having your procedure at:

Standard Office Forms

Download New Patient Registration Form
Download Medical Records Release
Download Privacy Notice

Insurance & Billing Policy

The offices of Dr. Shields is contracted with the following PPO Insurance companies. If you have an HMO, we will need a referral and authorization from your primary care provider. Our office is also contracted with VAH, but requires a referral and authorization by VAH. If you have any further billing or insurance questions please contact us directly. We hope you find this helpful.

You do not need a referral from your primary care physician for the insurances below:

PPO Plans

  • Anthem Blue Cross
  • Blue Cross
  • Blue Shield
  • Aetna
  • Cigna
  • United Healthcare
  • Great West
  • Principal
  • Healthnet
  • First Health
  • Interplan
  • Private Healthcare System
  • Pacificare
  • Beech Street
  • Guardian
  • Medicare & Tricare
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