New Patient Information & Forms
Valentine Medical Clinic
Welcome to Our Clinic!
We are honored that you have chosen us for your healthcare needs. Our goal is to provide high-quality, compassionate care in a comfortable and professional environment.
Before Your First Visit:
To help us serve you efficiently, please complete your New Patient Packet before your appointment. Bringing complete forms can reduce wait times and help ensure a smooth check in process. Please bring:
- Valid Photo Identification
- Current Insurance Card(s)
- List of Medications and Dosages
- Medical Records or Referrals (if applicable)
- Completed New Patient Packet (if applicable)
Appointment Policies
- Please arrive 15 minutes before your scheduled appointment
- If you need to cancel or reschedule, please notify us at least 24 hours in advance
- Late arrivals may need to be rescheduled depending on provider availability
New Patient Forms
Please download, print, and complete the following forms prior to your appointment:
Riverside Location Forms:
- Riverside New Patient Forms Pediatric Ages 0-17 (ENGLISH)
- Riverside New Patient Forms Pediatric Ages 0-17 (SPANISH)
- Riverside Adult New Patient Forms (ENGLISH/SPANISH)
Apple Valley Forms:
