We have provided the forms below to enable us to provide you with a speedy check-in process and ultimately lessen your valuable time in our sanitized daily, waiting room.
If possible, please print, fill out and fax the forms prior to your visit. Or, simply bring the completed forms with you at the time of your visit.


236 W. College Street, Covina, CA  91723
(626) 938-1080
Fax:  (626) 938-1087

inquiry@usbornefamilymedicine.com