My Vital Dashboard

Welcome back

Submit a referral and we handle scheduling, insurance verification, and follow-up.

Your Agency

Preferred

Agency—

Contact—

Phone—

Address—

Your Representative Yervand · (747) 218-7938

Office · M–F 8:30–5:00pm (818) 396-5158

Patient Referral Form

Secure, HIPAA-compliant submission

Bulk Patient Referral

Referring 6 or more patients at once

Referring 6+ patients? Email us the facesheets.

For bulk referrals, simply email us the PDF facesheet for each patient. This is the fastest way to get multiple patients scheduled.

info@vitalmg.us

Gather the PDF facesheet for each patient you're referring.

Ensure each facesheet has current contact info, address, and insurance details — all info must be up to date.

Email all facesheets to info@vitalmg.us and we'll handle the rest.

Important: If a patient's facesheet info is not up to date (wrong address, old phone number, missing insurance), please refer that patient individually through the normal referral form instead.

Coverage & Insurance

Service Areas

Mobile medical services across Southern California with 24–48 hour scheduling.

San Fernando Valley

Los Angeles County

San Bernardino County

Riverside County

Orange County

Beach Cities

Accepted Insurance

We work with most major providers to ensure seamless care.

Medicare Original Part B

Medicare Advantage Plans

Aetna

Cigna

Anthem

HealthNet

Regal

Alignment

Kaiser

And Many More…

Note: Coverage may vary by plan. We verify benefits before each visit — no surprises for your patients.

Request a Callback

We'll reach out within 1 business hour

Sign BAA

Business Associate Agreement for new partners

First time working with us? Please fill out the form below and we will email you a digital BAA to sign at the email address you provide.