Request a New Patient Appointment Online

This is a secure form (please see our Privacy Policy), and the information you provide will enable us to assist you as efficiently as possible. Please complete the form below to request a new patient appointment. A representative from our contact center will contact you by the end of the following business day to help you schedule an appointment. Note that medical records pertaining to your diagnosis will be needed prior to your first appointment (Including radiology labs, biopsy reports, etc.).

For faster assistance, please call 800-826-HOPE (4673).

Hours: 8 a.m. to 5 p.m. PST, Monday through Friday

Location Addresses
City of Hope Medical Center 1500 E. Duarte Rd. Duarte CA 91010
City of Hope at Providence del Amo 3531 Fashion Way Torrance CA 90503
Antelope Valley 44151 15th St., Ste. 101 West Lancaster CA 93534
Arcadia 301 W. Huntington Dr. Ste. 400 Arcadia CA 91007
Corona 1280 Corona Pointe Court, Ste. 112 Corona CA 92879
Glendora 412 W. Carroll Ave., Suite 200 Glendora CA 91741
Mission Hills 15031 Rinaldi Street Mission Hills CA 91345
Palm Springs 1180 N. Indian Canyon Dr. Ste. E-218 Palm Springs CA 92262
Pasadena 630 S. Raymond Ave., Ste. 220 Pasadena CA 91105
Rancho Cucamonga 7777 Milliken Avenue, #110 Rancho Cucamonga CA 91730
Santa Clarita 23823 Valencia Blvd #250 Valencia CA 91355
Simi Valley 1157 Swallow Lane Simi Valley CA 93065
South Pasadena Medical Group 209 Fair Oaks South Pasadena CA 91030
West Covina 1250 S. Sunset Ave. Ste. 303 West Covina CA 91790
Who Are You?

Patient Information
Diagnosis Information
Insurance Information

Other Information
Fields marked with * are required