Adult Medicine

Patient Registration Forms

May 18, 2022: Thank you for choosing Morongo Basin Community Health Center. We are in the process of updating our patient registration forms. We ask that you please arrive for your first appointment a little early to complete the registration forms.

  • Patient Authorization for Release of Protected Health Information (ENGLISH / ESPAÑOL)

  • REGARDING FINANCIAL SUPPORT: Morongo Basin Community Health Center provides affordable access to primary and specialty care. Most private insurances, Medicare and Medi-Cal / IEHP are accepted. A sliding fee scale is available to those with fixed or no income so that anyone may be seen for a nominal cost. We also provide assistance in completing applications for medical insurance benefits.


    The Morongo Basin Community Health Center provides the following care at locations in 29 Palms and Yucca Valley. To make an appointment, call 760-365-9305