BERKELEY OPHTHALMOLOGY

MEDICAL GROUP, INC.

Office Hours: Mon - Fri (8a -12p & 1p - 5p)

Secure Upload and Messaging

Resources

Forms | Insurance & Payments

Forms

Click on the Link(s) below to download your form.

  1. Patient Registration: Download
  2. Patient Medical Questionnaire: Download
  3. Notice of Privacy Practices: Download
  4. Record Release To Berkeley Ophthalmology: Download
  5. Record Release From Berkeley Ophthalmology: Download

 

Forms can be returned to us via this link: Secure Upload (Powered by hushmail)

Insurance & Payments

Insurance Plans We accept:
  • - Medicare (Part B only)
  • - Medi-Cal (Alameda County only)
  • - Most HMO Plans
  • - Most PPO Plans
  • - Alameda Alliance
  • - Community Health Care Network (Alameda County only)
  • - Davis Vision
  • - March Vision
  • - Superior Vision
  • - VSP - (Vision Service Plan)

We are part of these IPAs/Medical Groups:
  • - Alta Bates Medical Group
  • - Brown and Toland Medical Group
  • - Sutter East Bay Medical Foundation

Types of Payment We Accept
  • - Cash
  • - Checks
  • - Money Orders
  • - MasterCard ®
  • - Visa ®
  • - American Express ®
  • - Care Credit ®
  • - Apple Pay
  • - Google Pay

We are Currently Not Accepting:
  • - Affinty Medical Group
  • - John Muir Medical Group
  • - Kaiser Medical Foundation
  • - Hill Physicians Group
  • - Standford Health
Contact Us
2999 Regent Street, Suite 425
CA 94705-2119

Telephone: (510) 548-6630

Fax: (510) 548-9765