New patient registration

Registration

Help us avoid delays during your visit. Please register online to expedite your check-in process and upload insurance card images when requested.

Important: Thrive Comprehensive Medical Group does not accept Medi-Cal health plans. If one of our providers is listed on your card as your primary care provider, please call your health plan to confirm or change your designated provider before scheduling care.

Registration

First Name

Last Name

Gender

Date of birth

Mobile/Cell number

By providing your mobile number and checking this box, you agree to receive SMS appointment reminders from Thrive Comprehensive Medical Group. Message frequency varies; message & data rates may apply. Reply STOP to opt out or HELP for help. No PHI is sent by SMS.

By providing your mobile number and checking this box, you consent to receive SMS messages from Thrive Comprehensive Medical Group about your account and billing (e.g., balance notices after insurance adjudication, upcoming-due reminders, past-due reminders, failed-payment alerts, and payment confirmations). Message frequency varies by account status (typically 1–3 messages per case; up to 4 messages/month while a balance exists). Message & data rates may apply. Text HELP for help or contact (818) 600-1472 / helpdesk@thrivecmg.com. Text STOP to opt out at any time. We do not send PHI by SMS; messages include limited account info and a branded HTTPS payment link. Available to patients located in California, USA. Consent is not a condition of medical care. See our Privacy Policy and Terms & Conditions.

Home number

Address

Address Line 1

Address Line 2 (Apartment)

City

State

Zip Code

Health plan name

Insurance card – patient name

Policy Number

Do you take prescription medications

List your current medications

Pharmacy name AND address

Additional information

Insurance card image

Choose File

official ID card (drivers license or passport)

Choose File

I have read and agree to the Terms and Conditions and Privacy Policy.