Our Registration Package makes it easy to be new here!
We are delighted to welcome you to the Riverside family. Please find set out below our New Patient Registration Package and our Record Release Forms.
For all Patients
For Our New Adult Patients
For Our New Pediatric Patients
All co-pays in accordance with your insurance benefits policy must be collected at the time of service, including co-pays that are required for follow-up sick visits and visits to refill chronic medication.
All patient balance are due within 30 days of services rendered. Please contact our billing department at 551-257-7030 to make your payment today!
Record Release Form
If your records are at a different practice and you would like to join Riverside Medical Group, please complete this form and send it to the Office Manager at the office that you visit.
Click here (opens new window)opens new window for a copy of our Patient Record Release Form.