MEDICAL GROUP
Monday-Friday 8 - 5 PM
909-596-4879


URGENT CARE
Monday-Friday 10 - 10PM
Sat/Sun 10 - 6PM
909-971-4808

FORM FEES

Please complete the consent form below. We will make every effort possible to get your form to you within 5-7 days. Please make payment before you request the form.

ServiceCost
Jury Duty$20
Assessment for In-Home Supportive System Program$30
Physical Form$25
FMLA Paperwork$50
Costco Paperwork$50
Physician's Report$30
School Forms$25
Handicap Parking Permit | Placard$25
Short Term Disability$50
Permanent Disability$75
Employment Development Department (EDD)$50
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