1. Submit the Pre-Registration Request Below
    Please submit all of the following information available:
            - Patient's Name, Date of Birth, Address, Phone Number
             - Insurance Information & Insurance ID Number

  2. Call our Office at (626) 732 - 9232 

  3. Print & Fill out our Patient Registration Forms
    If you are a New Patient, Please use our "New Patient Registration Forms"
    If you are a returning patient (Since January 2015), Please use our "Returning Patient Registration Forms"

  4. Come to the Urgent Care!
    Don't forget to bring: Your Photo ID, Your Insurance Card, and for Completed Pre- Registration Forms.
    Please also remember that you will be subject to your copay/deductible at the time of service.

Submit a Pre-Registration Request:

We want to make our services as accessible as possible!
To achieve shorter wait-times, we are now offering an easy Pre-Registration Process.

Simply follow these instructions for Pre-Registration:

​605 E. Badillo Street, 1st Floor Suite, Covina, CA 91723 

Priority Registration

Convenient Medical Care...When You Need It!

Covina Urgent Care