Explore Susan Baker -
Online forms

New Patient Requests

Get in touch with the Baker M.D. Team

Here at Susan A. Baker, MD we are always accepting new patients. Regardless of whether you are sick or are simply due for a regular check-up, we are happy to welcome you to our office. We know going to the doctor can be a little overwhelming at times, so we are happy to provide you with our new patient forms ahead of time so that you can fill them out prior to your appointment and save you time during your visit.

Remember to bring a list of any medications you may currently be taking as well as any previous medical records you may want to provide. Our mission is to provide quality care to our patients, and we are happy to help you in any way we can. For more information or to request an appointment, contact us today at (310) 274-7770.
We offer patient forms online so you can complete them in the convenience of your own home or office. Fax us your printed and completed forms or you may bring them during your visit.

New Patient Form – Download & Print Form

If you do not have AdobeReader® installed on your computer, Click Here To Download.
Made with Webtir