Request Appointment

If you would like to request an appointment at our office, please fill out and submit the form below, or call us at (661) 327-2189. Please note that this is only a request, someone from our office will contact you shortly to confirm a date and time for your appointment.

If your matter is URGENT, or you feel you are experiencing an EMERGENCY, please call us immediately at (661) 327-2189 and DO NOT use the form below.

"*" indicates required fields

Your Name*
MM slash DD slash YYYY
Select a Time
New Patient?
Do you have dental insurance?
Do you have medical insurance?
We are not Medi-Cal or Kern Family Health providers
This field is for validation purposes and should be left unchanged.