San Bernardino Office
All fields are required
Type of Visit
New Patient Visit
Established Patient Visit
Routine Annual Health Care Visit
Video Visit
Office
San Bernardino Office
Fontana Office
Reason for Visit
e.g. Initial Consultation
Patient name
Firstname Lastname
Date of birth
mm/dd/yyyy
Email
email@example.com
Home phone
(555) 555-5555
Cell phone
(555) 555-5555
Requested time
Select a time below under Available Times
Office Address:
1800 Western Ave N STE 409 San Bernardino CA 92411
1800 Western Ave N STE 409 San Bernardino CA 92411
New and Existing patients can make appointments online.
Office Phone:
+1 909-202-4336
You must select a date and time for your appointment.
Available Times
Previous Week
Next Week
Visit Length:
20 minutes
Submit Appointment Request
You will receive an email confirmation.
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Action Required: Confirm your appointment