New Patient Registration
You may preregister with our office by filling out our secure online Patient Registration Form. After you have completed the form, please make sure to press the Submit button at the bottom to automatically send us your information. On your first visit to our office, we will have your completed form available for your signature. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.
Click below to register and submit forms online:
Please contact our office with any questions or concerns.
Our offices are located at:8112 Milliken Ave., Suite 102
- 930 West Foothill Blvd Suite C, Upland, CA 91786
- Get driving directions: Rancho Cucamonga Office or Upland Office
- Meet Dr. Dudziak, Dr. Choi, Dr. Hicke, and Dr. Zakhary
- See what are patients are saying
- Office Hours: Mon. – Thurs. 8:00 AM to 5:00 PM and Friday 8:00 AM to 2:00 PM.