350 South Euclid Ave., Suite C, Upland, CA 91786              t: 909-591-6575

5562 Philadelphia St., Suite 201, Chino, CA 91710               t: 909-591-6575​​

Please have your Picture ID, Insurance Card, and New Patient Registration Forms ready when you arrive to your appointment.

You may fill out your forms with the Acrobat Adobe PDF App on your desktop, smartphone, or IOS Devise. You also have the option of printing out the forms to fill out, scan and send them back or bring them in the day of your appointment.

Central Medical Group © 2019  |  All Rights Reserved


We would like to take this opportunity to welcome you to our practice and to thank you for choosing our physicians to participate in your healthcare.

As continuity and coordination of patient care is essential in meeting your healthcare needs, our physicians, nurse practitioners, medical assistants, and front office team work closely in a “team approach” to support your patient care. This means providing you with excellent care during your visit, as well as all the information you will need to make interactions with our practice efficient and successful.

​Download New Patient Forms HERE

Process New Patient Forms via Adobe:

Adobe Fill & Sign for Desktop HERE

​Adobe Fill & Sign for Smartphone HERE

Adobe Fill & Sign for Apple Phone HERE