This registration session will allow you to complete contact information, sign up for participation, and submit payment.
Please read through each page carefully to ensure that all information is provided accurately.
To complete registration through our secure site, please have your Visa or MasterCard information available.
ALL PRACTICES FOR THIS CLINIC WILL TAKE PLACE AT
CAMERON PARK COMMUNITY CENTER
1305 E. CAMERON AVE.
WEST COVINA, CA 91790
Please direct any questions regarding this registration to:
Inquiries
Phone: (626) 330-7925
Select an option to continue with the registration.
