Dr. Jan D. Tepper, D.P.M. Patient Forms

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To save your time waiting at our office in Upland, California, we have made all the required forms available for download. These should be printed out, and filled in completely prior to your visit. Please bring these forms with you to Dr. Jan D. Tepper, D.P.M., Inc. on your visit.

Patient Education

Read More About Foot and Ankle Conditions and Patient Education

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Accepted Carriers

  • Aetna
  • Anthem Blue Cross
  • Blue Shield
  • Blue Shield Covered California
  • Cigna
  • Healthnet
  • Medicare
  • Podiatry Plan
  • TriWest Healthcare Alliance
  • UMR
  • AARP
  • APWU
  • Ben-E-Lect
  • California Ironworkers
  • CVS Caremark Claims
  • Delta
  • First Health
  • GEHA
  • Great Western Health Plan
  • Healthnet Covered California
  • Humana
  • Laborers Health & Welfare
  • Motion Pictures
  • Mutual of Omaha
  • National Assoc. of Letters Carrier
  • National Automatic Sprinkler Industry
  • Northwest Sheet Metal
  • Operating Engineers
  • Select Benefit Administration
  • Sheet Metal Workers
  • Southwest Administration
  • UFCW Unions & Food Employers Benefit
  • Village Health Claims
  • WPS TriCare for Life
  • Workers' Compensation
  • We Accept PPO's Only
  • Call Us at (909)-920-0884 if you Have any Questions regarding Insurance Information

Accepted Payments

  • Visa
  • Mastercard
  • Discover
  • Checks
  • Cash