All patients, please fill these forms in detail. This will save you time in the office for 1st visit:

BILLING INFORMATION 2017

PATIENT HISTORY 2017

HIPAA Notice of Privacy Practices Feb 2017

For all our Regular & Wellness Patients, fill these forms:

Women Symptom Checklist Updated 2017

Men Symptom Checklist Updated 2017

Diagnosis Medication Supplement Tracking 2017

Food Diary 2017

For Immigration (INS) Patients Only:

i-693 02282019

To Request Records to be Sent to our Office:

Release TO Dr. Deol Medical Records 2017

Release TO Dr. Philips Medical Records 2017

WEIGHT LOSS & LO-CARB DIET:

2013 Carb Conter

Bakersfield Family Medical Center (BFMC) Information: 

Welcome BFMC Patients

Fill these following forms ONLY if these apply to you:

ABN Form 2016

Balance & Dizziness Questionnaire 2017

Brief Physical Surgery 2017

Candida Questionnaire 2017

Detox Questionnaire

Depression Questionnaire 2017

Do you have Yeast Overgrowth 2017

GI Questionnaire 2017

GROWTH HORMONE (HGH) Questionnaire 2017

Heavy Bleeding 2017

Mercury Questionnaire 2017

Mini Mental Status Exam 2017

Sleep Questionnaire 2016