Forms

We ask that new clients arrive 15 minutes earlier of appointment time in order to fill out intake forms.  You are free to download and complete to save some time.

Riverside County Medical Health Plan Form
IEHP Intake Form

Intake Form for other insurance plans

  • Hours & Info

    255 North D Street, Suite 402
    San Bernardino, CA 92401
    (909) 567-2808

    Open 7 days a week

    Monday 10 AM - 6:00 PM
    Tuesday 10 AM - 6:00 PM
    Wednesday 10 AM - 6:00 PM
    Thursday 10 AM - 6:00 PM
    Friday 10 AM - 6:00 PM
    Saturday By Appt.
    Sunday By Appt.

    Appointments can be scheduled to suit your needs. After hour appointments can be made accordingly, both in the mornings and evenings.
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