COVID-19 forms
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Patient Forms

We know that your time is valuable. That’s why we offer a simplified office experience with online patient forms that you can complete prior to your appointment. You’ll spend less time in the waiting area, streamlining your initial visit. These forms help us better understand your background, allowing us to provide you with the most effective care possible. As always, please do not hesitate to contact us is you have any questions about patient forms or your appointment.

Please note that you’ll need the latest version of adobe acrobat to download all patient forms.

  • Medical History Form
  • New Patient Registration

COVID-19 Forms

  • COVID-19
  • COVID-19 Screening Questionnaire
  • COVID-19 Pandemic – Patient Disclosures

Have a Question? Ask a Doctor!



Patient Reviews!

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Adept Dental Group
(661) 664-1814

8605 Camino Media Ste. 100
Bakersfield, CA 93311

Directions

Financing Options

We offer Visa, MasterCard,
Discover, American Express,
Care Credit and Citihealth Card.

Memberships & Affiliations

  • Dr. Joshua Divelbiss –
  • Bakersfield Dentist –
  • Dental Website Design by Optimized360
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