Our new ...

9802 Stockdale Hwy. Ste. 103
Bakersfield, CA 93311
PH 661-663-4444 - FX 661-663-4100

Select from over 100 symptoms to read more
about managing your child's illness.


Do you have an emergency?
Don't wait! Call 9-1-1.
Office 661-663-4444
After Hours 661-663-4444
Poison Control 800-876-4766
Patient Forms

Click on the name of the form to download.

New Patient Package

1. Consent to Authorize Medical Treatment

2. Patient Information Form

3. Medical History Form

4. Financial Policy

5. HIPPA

To download all forms at once, click here.


School Forms

Day Care Form

Kindergarden Form

Sports Physical Form

Health Visit Forms

M-Chat


Other Forms

HIPAA Patient record of disclosures

Record Release Form