Children's Services Admission Forms
Thank you for scheduling your child's appointment with the Casa Colina Children's Services Center. 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 909/596-7733, ext. 4200. We look forward to seeing you, and thank you for trusting us with your healthcare needs.
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With Casa Colina's 80-year history of excellence, the Bosserman family knew it represented their mother, Barbara's, best ...
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In 2011, Joanne Lichtman was involved in a car accident that resulted in a serious spinal cord injury and left her a ...
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When Gary Willis reflects on the care he has received at Casa Colina, the 51-year-old Riverside resident considers his time as a ...
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In July 2007, just before his 35 th birthday, Captain Patrick Horan was serving in Iraq and sustained a gunshot wound to the ...
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For the Cooley Family, life is simple, and that’s OK. Each day, Christine rises before Josh to put out the horses and cook ...
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In January 2020, Stacy Elliott awoke in the middle of the night. Something was terribly wrong. She stirred her husband, Phil. “I ...
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When Lorie Hargrave and Hal Hargrave, Sr., arrived at Casa Colina with their eldest son in August 2007, they had already ...
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A relaxing family gathering suddenly took a devastating turn when Ruben “Trini” Martinez dove into his brother-in-law’s pool in ...
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One Sunday in October of 1985, Robert Duncan was under the weather, with a strange tingling in his ankles. He drove himself to a ...
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Alexis Evans can’t remember anything about the day another car rear-ended her at a high rate of speed on Southern California’s ...
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For over five years, Juan Mata endured debilitating back pain—pain so relentless he couldn’t do the things he loved most, like ...
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Known regionally for excellence in wound care, Casa Colina Hospital’s Wound Care and Hyperbaric Medicine Center provides ...
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ALS Support Group December 26
This group is currently meeting online. Managed by the ALS Association, Golden West Chapter, Greater Los Angeles Office Facilitator: Crystal Galvan, RRT Online (Contact facilitator for virtual meeting information)* Contact: 747/284-3003 or ...
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Spinal Cord Injury (SCI) Support Group December 27
This group is currently meeting online. Support group for individuals with spinal cord injuries. Life with SCI, information, ideas, resources, and support. Facilitator: Andrew Skinner Online (Contact facilitator for virtual meeting information)* ...
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Post Polio Support Group December 28
This group is currently meeting online. The San Gabriel Pomona Valley Post Polio Support Group shares information and experiences associated with polio conditions. Facilitator: Marci Ellison Online (Contact facilitator for virtual meeting ...
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Free Sports Injury Screening Clinic January 13
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 ...
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Acquired Brain Injury Caregiver Support Group January 15
Please contact facilitator below to secure your spot. Our Caregiver Support group offers support and socialization for those providing care for family or friends with an acquired brain injury. Facilitator: Mary Lyn Barber, MSW Location: Loverso ...
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Acquired Brain Injury Support Group January 15
Please contact facilitator below to secure your spot. The Acquired Brain Injury Support Group provides a supportive meeting place for individuals with acquired brain injury, including traumatic brain injury, stroke, brain tumor, metabolic ...
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Free Sports & Orthopedic Injury Screenings January 15
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 ...
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Fibromyalgia Support Group January 16
This group is currently meeting online. Provides personal and educational support for adults diagnosed with Fibromyalgia. We ask that no children be present as this meeting please. Facilitated by Dianne Whiting, MA, PT, Manager of the Fibromyalgia ...
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