New Patients

Patient Forms
The following forms can be downloaded to your computer and printed at home. By filling out these forms ahead of time you will save significant time at the time of your visit. If you have any questions when filling out these forms, please do the best you can, our staff will assist you with your questions on the day of your visit.

Please printout and complete the appropriate forms:

• Patient Information Form

note: The above documents are in Adobe® PDF format. They require Adobe Reader to be viewed. If you do not have Adobe Reader, you can download it for free by clicking here.

Some of the Insurances We Accept:


Health Net

Affiliated Health Funds


Beech Street


Blue Cross


Blue Shield

Riverside County Foundation

Coventry/First Health Network

Tri-West Healthcare (Tricare)

Choice Care/Humana

United Healthcare/Pacificare

Cigna/Great-West Healthcare


We are an exclusive provider for HMO patients with Riverside Physician Network.

If your insurance is not listed above, please contact us for further information. We would be happy to assist you!

Raincross Express Care Orangecrest Express Care Raincross Medical Group