Patient Information

Medical Release Form
To request the release of your Melody Health/Planned Parenthood of Orange and San Bernardino Counties medical records to yourself or to others, or to request that your medical records from another medical provider be sent to PPOSBC/Melody Health, please complete a HIPAA-compliant medical records release form.


Download medical release forms:  English | Spanish | Vietnamese

Insurance

We accept Medi-Cal and a variety of insurance plans, and can even help you sign up for insurance.

Open Payments Database Notice

The Open Payments database is a federal tool used to search payments made by drug and device companies to physicians and teaching hospitals. It can be found at https://openpaymentsdata.cms.gov. For informational purposes only, a link to the federal Centers for Medicare and Medicaid Services (CMS) Open Payments web page is provided here. The federal Physician Payments Sunshine Act requires that detailed information about payment and other payments of value worth over ten dollars ($10) from manufacturers of drugs, medical devices, and biologics to physicians and teaching hospitals be made available to the public.

 

Melody Health/Planned Parenthood of Orange & San Bernardino Counties supports Nondiscrimination, Advancing Health Equity, and Reducing Health Care Disparities in healthcare access and services.

Download Nondiscrimination and Health Accessibility Notice
Download Patient Grievance Form

Need a Ride?

If you have Medi-Cal insurance, you can get free transportation to your Medi-Cal covered appointment. View form for more information.

*Please note that this is being offered by the health plans, so Planned Parenthood is unable to arrange the transportation or answer questions about the service.