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Call or Text Us Now 877-335-2559
Patient Forms
Health and Wellness

These forms are here for your convenience.

It is highly recommended that you print and complete them prior to your first visit. If you have questions or need additional help filling these out, please plan on coming to the health center 30-45 minutes prior to your appointment so that staff can assist you.
HSA New Patient Forms, English 
HSA Sliding Fee Application, English
HSA Cancellation Policy Agreement, English
HSA New Patient Forms, Spanish
HSA Sliding Fee Application, Spanish
HSA Cancellation Policy Agreement, Spanish

Our Locations

We serves communities throughout San Bernardino County. Find the location nearest to you below.
Central Ave, Chino, CA
San Bernardino St, Montclair, CA
Foothill Blvd, Rancho Cucamonga, CA
Cook St. Ste. F-2002, Palm Desert, CA
Base Line Rd. Ste. 200, Rancho Cucamonga, CA
Laurel St. Ste. 204, Rancho Cucamonga, CA
Main St. Ste. A Hesperia, CA

Chino Valley Community Health Center

CVCHC is located near the center of Chino, providing convenient access to the communities of Chino Hills, Corona, Ontario, and Pomona. Services provided here include behavioral health and medical. We also have an onsite pharmacy for the convenience of our patients.
13193 Central Ave, Chino, CA 91710
Medical Services - Call 909-464-9675Behavioral Health Services - Call 909-902-9111
Medical Services - Fax: 909-590-3898
Behavioral Health Services - Fax: 909-902-9119

Montclair Community Health Center

MCHC is located near the 10 freeway on the West End of San Bernardino County. Services provided here include behavioral health, medical, radiology, and urgent care. We also have an onsite pharmacy for the convenience of our patients.
5050 San Bernardino St, Montclair, CA 91763
Call 909-281-5800
Fax: 909-281-5858

The S. Newandee MD Community Health Center

SNMDCHC is located in Rancho Cucamonga on Foothill Blvd. near Archibald Ave. Services provided here include behavioral health and medical.
9804 Foothill Blvd, Rancho Cucamonga, CA 91730
Call 909-466-5433
Fax: 909-466-5499

Palm Desert Community Health Center

Formerly known as Foothills Psychological Services, PDCHC is located on Cook St. south of the 10 and north of the 111, providing convenient service to Palm Desert, Rancho Mirage, Indian Wells and surrounding areas. Services provided at this location are for behavioral health.
41990 Cook St. Ste. F-2002, Palm Desert, CA 92211
Call 760-674-7132
Fax: 760-674-7120

Alta Loma Community Health Center

ALCHC is located south of the 210 and north of Foothills Boulevard, west of Hellman Ave. Services provided here include behavioral health and medical.
9089 Base Line Rd. Ste. 200, Rancho Cucamonga, CA 91730
Call 909-980-3567
Fax: 909-989-3932

Rancho Cucamonga Community Health Center

RCCHC is located just south of Foothill Blvd. east of Haven Ave. on Laural St. Services provided at this location are for behavioral health and medical.
10837 Laurel St. Ste. 204, Rancho Cucamonga, CA 91730
Call 909-294-5358
Fax: 909-294-5356

Hesperia Community Health Center

Services provided at this location are for behavioral health and medical.
16377 Main St. Ste. A Hesperia, CA 92345
Call 760-688-4808
Fax: 760-688-4816

Hesperia Clinic

Services provided at this location are for behavioral health and medical.
16377 Main St. Ste. A Hesperia, CA 92345
Call 909-464-9675
Fax: 760-688-4816
our history

Learn More About Us

1998
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2005
Lorem Ipsum is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry's standard dummy text ever since the 1500s, when an unknown printer took a galley of type and scrambled it to make a type specimen book. It has survived not only five centuries, but also the leap into electronic typesetting of the industry.
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