Medical Forms

Provided below are various forms that require completion prior to your visit and/or surgery. Please download the appropriate form as directed by your physician and/or staff by clicking on the name of the form. If you can not access the form, please click on the Adobe box. This will allow you to download this software, providing access to the forms. Please bring the completed form/s with you to your scheduled visit. This will help expedite the registration process. Thank you.

Notice of Privacy Practices

Acknowledgement of Receipt of Privacy Notice

Medical Record Release Form

Patient Demographics Form

Patient History Form

If you cannot access the forms you can click on the icon to download the software.

8080 Bluebonnet Blvd., Suite 1000 • Baton Rouge, LA 70810 • T (225) 924-2424