Serving Kern County

Delano

Wasco

Mc Farland

Shafter

Call us today for a consultation:

661.587.5616 / 661.456.9704

Call us today for a consultation:

661.587.5616 / 661.456.9704

3409 Calloway Drive Suite 501
Bakersfield, CA 93312

 

 

Hours of Operation

Monday to Friday    9AM-5PM

Saturday    9AM-3PM

Closed on Sunday

DENTAL PATIENT FORM DOWNLOADS

Save time and eliminate the hassles of filling out dental registration forms when you visit us. For your convenience, simply download and print the forms below.

Just complete before you visit, and remember the forms when you visit us for the first time.

1. Patient Info pg.1

2. Patient Info pg.2

3. Consent for Internet comunication

4. Dental Agreement

5. Consent for Treatment pg.1

6. Consent for Treatment pg.2

7. Dental History

8. Medical History

 

CONTACT US

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