9802 Stockdale Hwy Ste. 103
Bakersfield, CA 93311

Phone: (661) 663-4444

Phone Lines Open at 7:30am M-F 
Answering Service is Available 24/7

OFFICE HOURS

Is Your Child Sick?TM

Select from over 400 symptoms to read more about managing your child's illness.

Do you have an emergency?
Don't wait! Call 9-1-1.

Poison Control: 800-876-4766

Patient Forms

Click on the name of the form to fill out, print, and return to our office.

New Patient Package

Includes all paperwork needed to registered a New Patient to the practice. *Please note all forms listed below are in this packet.





School Forms

 
Daycare Form: Contact our office to have a form pre-filled out from our system. 

Kindergarten Form: Contact our office to have a form pre-filled out from our system. 

Sports Physical Form: Contact our office to have a form pre-filled out from our system.
 

Health Visit Forms


Immunization Record: Please visit the Patient Portal tab to receive your child's record.

Any other Health Visit Froms please contact us at office office. 

Other Forms

Is Your Child Sick?TM

Select from over 400 symptoms to read more about managing your child's illness.

Do you have an emergency?
Don't wait! Call 9-1-1.

Poison Control: 800-876-4766