We are here for you!

Contact Us

We are looking forward to hearing from you!
Hablamos Español

(877) 437-4360

call us Toll Free Number  to get in touch

available from 08:00 – 18:30

Contact Pepito

We will need some important documents

To expedite the process, please send this now in order to speed up the process at the medical office. For better quality, scan the following documents, otherwise, please take a picture of the following on a matte, black background with your mobile phone.
Please upload your files in the form above

Please provide the front and back of your:

1.- Identification (ID): Passport, US Driver’s License (DL), Immigration Card, State ID, any government issued ID.
2.- Insurance Card: If automobile accident, please provide your insurance company issued card.
3.- Insurance Card: Kindly also include the front and back of your private insurance company (private, Medicaid, Medicare, HMO, etc.)
4.- Police Report
5.-Accident/Incident Report
Please upload your files in the form above