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.
We have 3 office locations at:
8112 Milliken Ave., Suite 102 Rancho Cucamonga, CA 91730
930 West Foothill Blvd Suite C Upland, CA 91786
410 S. Glendora Avenue, Suite 220 Glendora, CA 91741
- Get driving directions: Rancho Cucamonga Office, Upland Office or Glendora Office
- Meet Dr. Dudziak, Dr. Choi, Dr. Hicke, Dr. Zakhary, Dr. Paxman and Dr. Kim
- 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.