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Our Patients

We Want To Keep You Healthy

Patient Forms

If you have an appointment and wish to expedite your check-in process, you can do so by downloading, completing, and bringing the applicable (either new patient forms or established patient forms) patient forms with you on the day of your visit.

These forms must be printed and completed by hand and cannot be submitted electronically at this time.

Registration FormHistory Form

Frequently Asked Questions

All your questions answered!

Office Hours

Monday – Friday | 8:00 AM to 5:00 PM
The office is closed from 12:00 PM to 1:00 PM.

To schedule an appointment, please call us at (916) 971-9000.

When the office is closed, an answering service will be available to help you contact us.

Please call us during business hours to inquire about any urgent concerns such as lab results…etc.

Arrival Time and Appointment Documents

Please be sure to arrive 20 minutes before your scheduled appointment if you are a new patient and 15 minutes if you are an existing patient. This lead time is required to finish your registration and/or update your medical records (Download Registration Form, Download Medical History Form). Completed forms will accelerate your check-in process and save you time.

Please bring your insurance cards with you. We are required to verify your insurance eligibility at each visit. To do this, we need to make a copy of your insurance cards at each visit. This makes it easier for us to bill your insurance for you.

Please bring a list of your current medications (including over-the-counter medications) to EVERY VISIT. Up to date list of your medications will enable us to provide the best possible care. The doctor will need to ensure that any new prescriptions do not counteract or conflict with your current medications.

Medication Refills

For the most efficient and fastest way of refilling your medication, please contact your pharmacy directly. Your pharmacy will contact us for authorization. Your medications will be reviewed and refilled whenever appropriate. Please allow at least 48 hours for prescription refills.

Missed Appointments

At NorCal Medical Group, our first priority is our patients. We strive to provide service to our patients whenever they might need care. Scheduling and missing appointments most certainly result in the loss of an opportunity to another patient who might be in desperate need of an appointment.

To minimize the occurrence of missed appointments and to compensate for the time of our staff, a $30.00 administrative fee will be charged for each missed appointment that is not canceled 48 hours prior to the scheduled appointment time.

Fees Policy

All co-pays, fees, and outstanding balances must be paid in full prior to seeing Dr. Kujok.

If you have questions about our fee structure or policies, please contact us directly.


Emergencies do occur, and we ask that you not hesitate to contact us with urgent problems. After hours, our phone is covered by our answering service. Dr. Kujok is always “On Call” for emergency care (24 hrs/day, 365 days per year). The service will relay urgent questions regarding your health care to Dr. Kujok.

Accepted Insurance

Below is a list of some of the accepted insurances. If you can’t find your insurance listed or are in doubt, please contact our staff, and we will gladly assist you.

  • Hill Physicians Med Group
  • Sutter Independent Physicians IPA
  • Sierra Nevada IPA
  • United Health Care
  • Medicare
  • Railroad Medicare
  • Aetna
  • Anthem Blue Cross
  • Blue Cross State
  • Blue Cross (most health plans)
  • Blue Shield
  • Coventry
  • Cigna/Great West
  • Health Net
  • Humana
  • Interplan
  • Multi-Plan
  • Pacificare / UHC
  • Tricare

Uninsured Patient

At NorCal Medical Group, we are committed to helping each and every person who needs it, regardless of if they are covered by medical insurance at this time.

For uninsured patients, there is an affordable office visit fee. Please call us for details. In keeping with our general philosophy of offering options for your convenience, this fee can be paid for in a variety of ways, including checks, cash, credit, or debit card.

At NorCal Medical Group, we strive to provide the same excellent care to those with or without insurance. That is our guarantee to you.

What They’re Saying

Dr Kujok has been my primary care doctor for over 10 years. He has always listened well and is very professional when treating me. He has shown he cares about me and my well being.

James M.