Contact Us

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2203 17th Street
Bakersfield, CA, 93301
United States

(661) 716-0333

Patient Forms

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Patient Forms

We know that your time is valuable. That’s why we offer a simplified office experience with online patient forms that you can complete prior to your appointment. You’ll spend less time in the waiting area, streamlining your initial visit. These forms help us better understand your background, allowing us to provide you with the most effective care possible. As always, please do not hesitate to contact us is you have any questions about patient forms or your appointment.

Return Patient Forms

Rapid Health Assessment

New Patient Forms

Patient Registration

Privacy Practices

Financial Policy

Other Policy

Release of Information

Other Forms

Release of Information

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