The California Dept. of Public Health along with the Center for Disease Control require masks to be worn in ALL health care facilities. COVID is a respiratory virus; as such all staff, patients and visitors must adhere to this directive at all Riverside Medical Clinic locations. ANYONE who refuses to comply will be asked to leave the facility. Many patients treated at clinics such as RMC have health issues that put them at a higher risk. This mask policy is designed to protect all our patients.

Patient Documents

Medical Records Requests

For medical records to Riverside Medical Clinic from another healthcare provider: In order for another healthcare provider to forward your medical records to us, they will need a medical records release form completed and submitted to them. You can download the form here.

For medical records from Riverside Medical Clinic to another healthcare provider:

In order for us to release your medical records to another healthcare provider, we will need a medical records release form completed and submitted to us. You can download the form here.

“Third Party Consents for Minors”

This form is completed and returned by a parent or guardian to give consent to a caregiver to seek medical care for a minor child.  You can download the form here.

Staying Healthy Assessment Forms

As per MMCD Policy Letter 13-001, Staying Healthy Assessment (SHA) forms must be administered to new patients during the Initial Health Assessment (IHA) and periodically thereafter as the patient enters a new age category. SHA forms may be downloaded and printed in multiple age categories and languages below or from the DHCS website. http://www.dhcs.ca.gov/formsandpubs/forms/Pages/StayingHealthy.aspx

Riverside Medical Clinic