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  • MON – WED 8:00 AM – 5:00 PM; THURS 10:00 AM – 7:00 PM; FRI 7:00 AM – 4:00 PM
  • TEL: (661) 323-1500
  • 5101 Commerce Drive, Suite 102
Phillips and Jue Dental
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Patient Forms

Patient Forms

Before your appointment, please fill out these patient forms.

PATIENT INFORMATION FORM
HEALTH HISTORY FORM
HIPAA FORM
NOTICE OF PRIVACY POLICIES

Phillips and Jue Dental
5101 Commerce Drive, Suite 102
Bakersfield, CA 93309
[email protected]
(661) 323-1500

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