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.
-
In July 2007, just before his 35 th birthday, Captain Patrick Horan was serving in Iraq and sustained a gunshot wound to the ...
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 -
A relaxing family gathering suddenly took a devastating turn when Ruben “Trini” Martinez dove into his brother-in-law’s pool in ...
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 -
This past fall, 76-year-old Ron Kelley went fishing in Canada, driving nearly three hours to reach his favorite fishing hole. He ...
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 -
Jude Aquino doesn't understand Casa Colina is a place for recovery. He thinks it's a place to play. But then, Jude is only four ...
Continue Reading -
In 2008, at just 26, Katherine Wolf suffered a near-fatal stroke that left her unable to walk, speak, or swallow food. For ...
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 -
One Sunday in October of 1985, Robert Duncan was under the weather, with a strange tingling in his ankles. He drove himself to a ...
Continue Reading -
Eight years ago, a tragic accident left him paralyzed from the chest down. But it wouldn’t be the last time he flew. As a young ...
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
/
View All
-
ALS Support Group September 28
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 ...
View Event Details -
Spinal Cord Injury (SCI) Support Group September 29
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)* ...
View Event Details -
Free Sports Injury Screening Clinic October 02
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: Concussion 101 October 04
Join clinicians from Casa Colina Hospital and Centers for Healthcare and Western University of Health Sciences for an overview on concussion. Topics of discussion will include: Types of concussions, including work- and sports- related, automobile ...
View Event Details -
Acquired Brain Injury Caregiver Support Group October 18
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 ...
View Event Details -
Acquired Brain Injury Support Group October 18
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 ...
View Event Details -
Fibromyalgia Support Group October 19
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 ...
View Event Details -
Free Community Seminar: Spine Surgery 101 - What You Need to Know October 23
Join Siraj Gibani, MD, Medical Director of the Casa Colina Spine Program, for an overview on spine surgery and related topics. Topics of discussion will include: Basic spine anatomy Spine pathologies What is spine surgery? Who benefits from spine ...
View Event Details -
Post Polio Support Group October 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 ...
View Event Details -
Free Community Seminar: Prevention and Treatment of Hip Fractures January 30
Join Luis Corrales, MD for an overview on preventing and treating hip fractures. Topics of discussion will include: How to prevent hip fractures What’s new regarding the treatment of hip fractures? Complications related to hip fractures Lifestyle ...
View Event Details
/
View All
