Audiology Admission Forms
Thank you for scheduling your audiology appointment with Casa Colina Hospital and Centers for Healthcare. Please complete the admission forms below in advance and bring the completed forms to your first appointment to expedite your admission process. Please do not attempt to submit admission forms via email.
If you have questions filling out your forms, please call our Audiology Center at 909/596-7733, ext. 3535 or toll-free 866/724-4127, ext. 3535 or contact us now.
-
In January 2020, Stacy Elliott awoke in the middle of the night. Something was terribly wrong. She stirred her husband, Phil. “I ...
Continue Reading -
Known regionally for excellence in wound care, Casa Colina Hospital’s Wound Care and Hyperbaric Medicine Center provides ...
Continue Reading -
The world was shocked on October 1, 2017 when a lone gunman opened fire on concertgoers at the Route 91 Harvest Festival weekend ...
Continue Reading -
While riding his motorcycle in Malibu on November 2, 2008, Marco Ferreira suffered a terrible crash and was airlifted to UCLA ...
Continue Reading -
With Casa Colina's 80-year history of excellence, the Bosserman family knew it represented their mother, Barbara's, best ...
Continue Reading -
When Gary Willis reflects on the care he has received at Casa Colina, the 51-year-old Riverside resident considers his time as a ...
Continue Reading -
A relaxing family gathering suddenly took a devastating turn when Ruben “Trini” Martinez dove into his brother-in-law’s pool in ...
Continue Reading -
Husband and wife David Lozano, MD and Olga Lozano, RN are used to giving rather than receiving care. Both take immense pride in ...
Continue Reading -
For over five years, Juan Mata endured debilitating back pain—pain so relentless he couldn’t do the things he loved most, like ...
Continue Reading -
When Lorie Hargrave and Hal Hargrave, Sr., arrived at Casa Colina with their eldest son in August 2007, they had already ...
Continue Reading -
For the Cooley Family, life is simple, and that’s OK. Each day, Christine rises before Josh to put out the horses and cook ...
Continue Reading -
For Nolan Sheow, 22, from La Cañada, California, life was looking up. He had just completed his last year at the University of ...
Continue Reading
1 / 1
View All
-
Free Sports Injury Screening Clinic April 28
The Coliseum at Casa Colina Hospital and Centers for Healthcare is offering free sports injury screenings. Overseen by Steven Bast, MD, program medical director and an orthopedic surgeon trained in sports medicine, the Coliseum welcomes injured ...
View Event Details -
Free Community Seminar: Being Active: A Key to Managing Diabetes and Living Well April 29
Join Melanie Barbee, MS, RDN, CDCES, DipACLM for an overview of diabetes and how physical activity can lead to a better life. Topics of discussion will include: The importance of physical activity for people with diabetes Setting realistic and ...
View Event Details -
Free Sports & Orthopedic Injury Screenings April 30
Casa Colina Azusa Center is offering free screenings for sports injuries and other minor-to-moderate orthopedic injuries caused by falls, accidents, and more. The Comprehensive screenings are for non-chronic conditions and are conducted by a ...
View Event Details -
Free Community Seminar: Cooking for a Healthier You May 27
Join Melanie Barbee, MS, RDN for a cooking demo and discussion on prepping and cooking for a healthier you. Topics of discussion include: Crating and sampling healthier meals and quick and easy snacks Selecting nutritious food within your budget ...
View Event Details
1 / 1
View All
