New Patient Forms
We’re honored you’ve chosen Southern California Injury Treatment Center for your care. To make your first visit as smooth and efficient as possible, we ask all new patients to complete the appropriate intake form before their appointment. Completing your paperwork in advance allows our medical team to focus on listening to you and creating a personalized treatment plan.
New Patient Intake Forms
Get started by completing our standard new patient intake form.
Para su conveniencia, ofrecemos formularios en español.
我们也提供普通话版本的新患者表格。
How to Complete Your Forms
Completing your forms ahead of time helps reduce wait times, ensures accurate medical information, and allows us to provide the most efficient and compassionate care possible from the moment you arrive.
Need Assistance?
If you have any questions or need help completing your paperwork, our team is happy to assist. Please contact our Chino Hills office prior to your visit, and we’ll guide you every step of the way.
