New Patient Information Print E-mail
Welcome. If you are seeking new patient information, you've come to the right place. Here are several forms which should all be reviewed/filled out before visiting the office.  You should have already received these forms, if misplaced or lost, please print the forms and have them ready by your appointment time.


New Patient Documents



Adobe Acrobat Reader is required to view these documents.

 Document Download Document Information
Patient Registration Form Patient Registration FormRequired for all new patients, please bring this to our office at the time of your appointment. You may either fill it out on the computer and print it, or print it and fill it out by hand.
HEALTH QUESTIONNAIRE.pdf Health QuestionaireThis questionaire 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.pdf Financial PolicyThis document explains our financial policy with various insurance providers and the various fees required.
HIPPA.pdf HIPPA InformationThis document explains your legal privacy rights as a patient of the Bakersfield Neuroscience and Spine Institute.