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FORMS
Below are links to our new patient paperwork, release of information form, and the self-pay contract.
If you are interested in becoming a new patient, please complete the form below, and our staff will contact you to set up an appointment. Please be advised that the new patient paperwork is required for any appointment to be scheduled.
Bakersfield
Visalia
Additionally, the paperwork can be printed and either dropped off at one of our office locations or you can mail it in. Please use the links below to access the PDF copies. ** Copies of your photo ID and insurance card(s) will be required when completing this version of the new patient forms **
If you have questions regarding any of the paperwork, contact us at (661) 735-3887 or (559) 372-0523.
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