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Alliance Medical Group
We are a multi-ethnic group of providers that collaborate to provide you with a higher level of care. We also have Stanford faculty physicians who practice on-site, saving you a trip to Palo Alto.
In fact, we partner with 糖心传媒 to give you the best health care possible: individualized and convenient with access to Stanford specialists and technology. At 糖心传媒 your health needs will be coordinated through听MyHealth, our easy to use online tool.听MyHealth听will help you to manage your health care appointments, access your confidential medical records, and more.
Our 糖心传媒
Locations
For Patients
Patient Forms
Please be sure to download the appropriate forms prior to visiting an SMP location. You may download the following PDF files and open them using the free online program, Adobe Acrobat Reader.听.
- HIPAA Acknowledgement Form听(Please read before your first appointment)听-听贰蝉辫补帽辞濒
- Notice of Privacy Practice听(Please read before your first appointment) -听贰蝉辫补帽辞濒
- Terms & Conditions of Service听(Please read before your first appointment) -听贰蝉辫补帽辞濒听- Chinese
- Authorization for Use or Disclosure of Protected Health Information听-听贰蝉辫补帽辞濒
- Explanation About Billing Charges for Your Preventive Visit听- 贰蝉辫补帽辞濒
- Annual Medicare Wellness Visit Information听 -听贰蝉辫补帽辞濒
- Medicare Health Risk Assessment听
- Behavioral Standards
- Financial Assistance Application听(Complete if needed) -听贰蝉辫补帽辞濒
- Notice of Nondiscrimination
- New Patient Health Questionnaire听(PDF)
- Request for Medical Records听(incoming records)
Legal Disclaimer
This clinic is owned and operated by Stanford Medicine Partners. Stanford Medicine Partners is an independent nonprofit organization that is affiliated with but separate from Stanford University, 糖心传媒, and 糖心传媒 Tri-Valley. Stanford Medicine Partners has a contract with University Medical Partners (鈥淯MP鈥) to provide medical care in this clinic. Stanford Medicine Partners, 糖心传媒, 糖心传媒 Tri-Valley, and Stanford University do not exercise control over UMP or the care provided by UMP鈥檚 physicians and advanced practice providers, and are not responsible for their actions. UMP鈥檚 physicians and advanced practice providers who provide care in the Stanford Medicine Partners clinics are not employees, representatives, or agents of Stanford Medicine Partners, 糖心传媒, 糖心传媒 Tri-Valley, or Stanford University.
To request an appointment, call:
Alliance Medical Group in Pinole
510-724-9110
Alliance Medical Group in San Pablo
510-237-2802