BAKERSFIELD PSYCHIATRIST AND MENTAL HEALTH CLINIC
Download form - Regarding continuity of care
Following forms can be used to prepare for the appointment with New Doctor to correspond with PMPI in regards to you past care at PMPI
IF YOU HAVE BEEN A PATIENT AT THE 1021 COLUMBUS ST LOCATION IN BAKERSFIELD, CA 93305 AND WISH FOR US TO SEND FULL OR PART (SELECTIVE) OF YOUR RECORDS TO A NEW PROVIDER YOU HAVE NOW, PLEASE PRINT THE FORM AND SEND IT TO US AT THE FAX NUMBER BELOW.
Release of Information form
completed forms can be faxed to (661) 368-0826