New Patients & Online Forms

These tips will help you obtain the maximum benefit from your visit with us:

• You will be asked to fill out a new patient registration form. To save time you can print one here and bring it with you already completed.

• You should bring any test results or films (such a mammograms) with you. These can be obtained by contacting the facility where they were performed and requesting to pick them up.

• Request that any reports from your tests be mailed or faxed to us. Our fax number is (318) 524-9569.

• Bring your insurance card. We will need to make a copy for your medical records.

Print Forms

Download and print our registration forms, fill them out and fax them in or bring it with you for your first appointment.

• Registration Form
  This is your personal and family contact information.

• New Patient History Form
  This is your medical history.  Please fill it out carefully

• Alternate Contact Form
  This form names the specific individuals that we may speak with about your appointments, care and other information in the event we cannot contact you.

• Care Consent
  This form gives permission for the doctors to treat you.

• HIPPA Form
  This form describes how your medical information is used by the doctors.

• Medicare/Medigap
  Form for Medicare patients with Medigap coverage.

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