Please be aware that if your patient intake forms are not completed online, or completed prior to your visit, your visit may be delayed. To access the online registration portal and minimize the wait time of your visit, please click the link below.
If you wish to complete the forms on paper, please print and fill out each of the forms and return it to our o ce on your upcoming visit. Please ensure that you provide us with the following: a current list of medications, your medical history, and pharmacy phone number.
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Foothill Urogenital Health
624 W. Duarte Road, Suite 203
Arcadia, CA 91007
General Inquiries: 626-446-8595
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