Patient Forms & Payments

You now can download new patient forms online and request appointments online through our website . Once your request is received, a member of our staff will contact you.

New Patient? Please download and fill out the forms:

Registration Form

Medical History

Plans We Accept

Medicare, Workers Compensation & most PPO plans

Please check with your PPO plan to see if Dr. Kayvanfar is in network or out of network with your plan and verify your benefits.

Payments We Accept

Cash, Debit Cards, Credit Cards & Checks

Have a question?
Contact Us.

Tel: (661) 222-9466

Fax: (661) 222-9288

Email: info@JFKMD.com

Mon - Friday 9 AM To 5PM

Request an Appointment

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First Name

Last Name

Email

Phone

Type of Visit

*New Patient

Follow Up

Reason(s) For Visit

Days & Times Preferred

*New Patient? Download and fill out the forms prior to visit:

Registration Form

Medical History

Patient Forms & Payments

You now can download new patient forms online and request appointments online through our website . Once your request is received, a member of our staff will contact you.

New Patient? Please download and fill out the forms:

Plans We Accept

Medicare, Workers Compensation & most PPO plans

Please check with your PPO plan to see if Dr. Kayvanfar is in network or out of network with your plan and verify your benefits.

Payments We Accept

Cash, Debit Cards, Credit Cards & Checks

Have a question?Contact Us.

Tel: (661) 222-9466

Fax: (661) 222-9288

Email: info@JFKMD.com

Mon - Friday 9 AM To 5PM

Request an Appointment

*New Patient? Download and fill out the forms prior to visit:

Registration Form

Medical History

Have a question?
Contact Us.