My Healthy Connection

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Click here if you have already signed up, or have received an activation code for My Healthy Connection

To register for My Healthy Connection, please download the Patient Enrollment form below below.


My Healthy Connection is a secure online site Riverside Medical Clinic provides to all patients. It’s a personalized tool that can be easily accessed from the convenience of your computer. My Healthy Connection has the details you need to manage your healthcare. My Healthy Connection can connect you to the following services:

Schedule and change appointments

  • View and renew medications prescribed by your Riverside Medical Clinic physician
  • View details of certain test results
  • Email your physician’s office
  • View and manage your child’s medical account

To sign up for access to your My Healthy Connection record, please complete the form below and return it to the address shown.

Return forms to:
Riverside Medical Clinic
Medical Records Dept.
3660 Arlington Avenue
Riverside, CA 92506
-OR-
Fax to: (951) 784-6479
-OR-
Email to: [email protected]

Download Patient Enrollment Form

To sign up for access to your child’s My Healthy Connection record (ages newborn to 11 years), please complete both pages of the Child Proxy Form and return it to the address shown below.

Return forms to:
Riverside Medical Clinic
Medical Records Dept.
3660 Arlington Avenue
Riverside, CA 92506
-OR-
Fax to: (951) 784-6479
-OR_
Email to: [email protected].

Download Newborn-11-year-old Child Proxy Form

To request access to the My Healthy Connection record of an adult patient whose medical care you help manage, please complete the Adult Proxy Form. The patient must sign the form and provide authorization for release of medical information for My Healthy Connection access.

Return forms to:
Riverside Medical Clinic
Medical Records Dept.
3660 Arlington Avenue
Riverside, CA 92506
OR-
Fax to: (951) 784-6479
-OR_
Email to: [email protected].

Download Adult Proxy Form