Industrial Medicine
Interventional Pain Management
Electrodiagnostic Medicine
Sports Medicine
Acupuncture
809 Sylvan Ave #400
Modesto CA, 95350
p: 209 529-4422
Please fill out the following questionaire and hand carry all MRI, X-ray films to your consultation appointment. All MRIs, X-rays will be returned at the completion of the appointment. Our office does not store any MRI or X-ray.
Download Patient Questionaire in PDF format (122 KB)
Download Patient Questionaire (Spanish) in PDF format (3 KB)
Also, if it is a worker's compensation case and you've been treating with another doctor, fill out the Release of Medical Record form and Change of Treating Physician forms.
Download Release of Medical Record Form in PDF format (75 KB)
Download Change of Treating Physician Form in PDF format (62 KB)
All appointments are scheduled after getting authorization from insurances. There is no walk-in appointments since Dr. Chan is a Pain Specialist. The types of appointments are:
Dr. Chan has joined many of the Workers Comp MPN (Medical Provider Network). Our office accepts most worker's compensation insurances, AllCare IPA, Blue Cross PPO, Central Valley Medical Group (CVMG), Medicare, Sutter Gould Medical Group. Dr. Chan is also contracted with Kaiser Permanente Medical Group. Please call our office to get more information if you have question about a particular insurance. The office also accepts cash pay patients.