Document to Download |
Description |
| Patient Registration Form | Required for all new patients, please bring this to our office at the time of your appointment. Please print and complete form. |
| Health Questionnaire | This questionnaire will provide our doctors with a better understanding of you. It is completely confidential and will be a part of your medical record. |
| Financial Policy | This document explains our financial policy with various insurance providers and the various fees required. |
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This document explains your legal privacy rights as a patient of the Bakersfield Neuroscience and Spine Institute. |
| HIPPA Receipt | This form acknowledges that you have been provided with a copy of our medical practice's Notice of Privacy Practices/ HIPPA Information. |
| Signature On File | This document gives us permission to bill your insurance company. |
Please refer to our employment page for more information.
New Patients >>
Download the necessary forms which should all be reviewed/filled out before visiting the office.
Existing Patients >>
All paperwork must be updated once yearly. Download the necessary forms which should be filled out before visiting the office.