Private messages & attachments
Spruce is for patients. Patients and referring offices can use our Paubox form for messages and documents.
We are here to help
Appointments, questions, and support from your VNG team.
Our AI patient guide can help with office information and website navigation. It is not a clinician and cannot diagnose, prescribe, interpret your test results, or confirm appointments. Chat may be recorded; use the dedicated forms or Spruce for sensitive details.
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Monday–Friday · 8:30 a.m.–5:30 p.m.
Spruce is for patients. Patients and referring offices can use our Paubox form for messages and documents.
Ask about a statement or make a payment.
Request or send records through our secure form. Identity verification and authorization may be required.
Find intake forms and patient services.
We strive to review your request and respond by the next business day. After sending a form, message, portal request, referral, or documents, please also call (661) 776-3876 Monday–Friday, 8:30 a.m.–5:30 p.m. PST to follow up. Submission does not confirm, cancel, or reschedule an appointment. For urgent needs, call during office hours. For a medical emergency, call 911.