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FORMS

Submit as a new patient

The easiest way is to get started

We've added our New Patient Form to our web site so you can fill it out here and now and submit it electronically. This way, when you get to the office everything will be ready to go - minimizing your wait time. If you'd like to make an appointment for your first visit, please fill out this form now. It is the easiest way to get started. Once you submit it someone in our office will get back to you to set up an appointment date and time.​

We accept the following insurance: Anthem Blue Cross, Aetna, Gemcare, County of Kern, Specialty & 2nd Opinion: Bakersfield Family Medical Center (BFMC). Please contact us if you have any questions regarding your insurance.

One caution about this form though - please set aside 7 -14 minutes so you can fill it out completely in one sitting. This will prevent you from losing your work and having to start over again. Thank you and I look forward to meeting you.

Personal Info

If you'd like to make an appointment for your first visit, please fill out this form now. Once you submit it someone in my office will get back to you to set up an appointment date and time.

Personal Info

If you'd like to make an appointment for your first visit, please fill out this form now. Once you submit it someone in my office will get back to you to set up an appointment date and time.

Dr. Fisher will work with you
to achieve realistic facial aesthetic goals

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