New Patient Information

Welcome to Nor Cal Airway! To schedule an appointment with Nor Cal Airway, please contact us at (408) 247-9291 or enter your appointment request  here. When scheduling your Consultation, a link to the New Patient Forms will be sent to you. Please complete and submit the forms at least 48 hours prior to your appointment for the clinical team to review. Please be sure to bring your medical insurance card as well as a photo ID. The health and safety of our patients and our staff is a top priority. Please review our COVID-19 protocol prior to your visit here.

As not to delay appointments for other scheduled patients, we reserve the right to reschedule your appointment if you arrive 15 minutes after your scheduled appointment.

Please complete and return all the following forms at least one day prior to your appointment. The completed form can be emailed to [email protected] or faxed to 408-247-9292.

Eric Phelps DDS is not a participating provider with medical or dental insurance companies and has opted out with Medicare as well as all other state or government-funded programs. As a courtesy, we would be happy to file any necessary insurance forms or documentation to assist the processing of reimbursement towards patients out of network medical benefits. Some medical insurance policies cover a portion of TMJ and sleep breathing treatments - be sure to check with your medical carrier. We feel it is important for you to understand your plan and its payment allowances. Once Dr. Phelps has developed a diagnosis and treatment plan for you, we will send the appropriate information to your insurance company to assist with the required authorizations. Please keep in mind no insurance plan covers all costs. Most have member service representatives available to assist in understanding your plan's specific benefits. Since Dr. Phelps is an out of network provider, your insurance company may be unwilling to provide any other information than the basic plan benefits to our office. Insurance contracts are between you, the member, employer, and the insurance carrier. We will attempt to obtain as much information as we can; however, the insurance company may limit the information they provide us. Therefore, we advise you to contact the insurance carrier to obtain the plan's specific benefit information so you can make an informed and educated decision while creating a payment arrangement.

Nor Cal Airway

2075 Forest Avenue, Suite #6, San Jose, CA 95128

Phone: (408) 247-9291

Fax: (408) 247-9292

Email: [email protected]

MON - THU : Closed

FRI : 8:00 am - 5:00 pm

SAT - SUN : Closed