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10590 Town Center Drive, Suite 170
Rancho Cucamonga, CA 91730
909 483 0000

Patient Resources

Patient Resources & Links

Patient forms are available at the clinic. If you prefer, you can also print the forms and bring them with you.

TinyStarRegistration form

TinyStarConsent to treat minors

TinyStarRelease of information authorization

TinyStarPrivate Pay Medicaid Waiver

TinyStarNotice of privacy practices

TinyStarFinancial policy

MISSION STATEMENT

To provide high quality compassionate care always and in all ways.