California Ave. Clinic 661.631.8793 x1
Riverlakes Aquatic Clinic 661-529-2303 x1
 

Request Appointments
[email protected]
Submit Referrals
[email protected]
Fax: 661.631.9257

PATIENT FORMS

For your convenience, we’ve provided our patients forms on our website. To help expedite your first visit, please download, print and complete the forms. Bring them with you when you come in for your first visit. If you choose to fill out the patient form packet at our office, please arrive 10-15 minutes before your appointment to allow enough time to get them completed before your appointment.

If you are a new patient and are scheduling your first appointment, please see the list of forms below to find the required forms you will need to bring with you on your first visit. You will need to bring a photo ID and a copy of your insurance card if you will not be paying cash.

* The direct access disclaimer is only needed if you do not have a referral from a doctor

** the lein form is only needed if you were referred to us by your attorney and your case is a lien case

*** Patients will receive a text reminder for their appointments. Our privacy policy; No mobile information will be shared with third parties/affiliates for marketing/promotional purposes. All the above categories exclude text messaging originator opt-in data and consent; this information will not be shared with any third parties.

Downtown Clinic

5300 California Ave. Suite 110
Bakersfield, CA 93309
 
Monday – Friday:
9 AM – 6 PM
Saturday & Sunday:
Closed
 
Phone: (661) 631-8793 x1

Northwest / Aquatic Center

3850 Riverlakes Dr Suite A
Bakersfield, CA 93312

Monday – Friday:
9 AM – 6 PM

Sunday: 9am to 4pm
Saturday Closed:

Phone: (661) 529-2303 x1