Make or Change an Appointment

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Beaver Medical Group

The Choice of the Inland Empire Since 1945

Call Us: (909) 793-3311

Make or Change an Appointment

Use the MyChart patient portal to manage your appointments including scheduling, canceling and viewing your appointments. Sign up for MyChart online, or call a staff member for assistance. The form below is available for patients who do not yet have MyChart.

Use this form to request an appointment.
An appointment scheduler will call you.

Patient Information

First Name: [REQUIRED]  
Last Name: [REQUIRED]  
Patient Date of Birth: [REQUIRED]  
Street Address:
City:
State:
Zip:
Daytime Phone: [REQUIRED] 
E-Mail:  
Best Time to Contact:

Appointment Details

Doctor Name:
Comments: