Patient Forms
Bringing excellent medical care for Upland, Rancho Cucamonga, and surrounding communities.
Forms Available For Download
Patient Registration Form (New Patients Please Fill Out This Form)
Communication Consent Agreement
Financial Disclosure Statement
At Edge Family Medicine, we're all about making your experience with us as smooth as possible.
To get started with our care, we kindly ask that you pre-register on our patient portal page. Keep in mind that you won’t be able to create a portal account until we create a chart for you. But no worries, just give us a call after pre-registering and we’ll handle everything else for you.
Call: (909) 870-5200