Schedule an Appointment

Baton Rouge Office:
5258 Dijon Drive
Baton Rouge, LA 70808-4396

Zachary Office:
6110 Main St., Ste. D
Zachary, LA 70791

Phone: 225-769-1090
Fax: 225-766-5514
Toll Free: 800-960-1ENT (1368)

Appointment Forms and Documents

Below are forms we use in establishing your medical records with our office. They include necessary information for treatment and submission of your insurance claims.

If you have an appointment, you may download and fill out. Please bring these at the time of your appointment for faster processing and to keep your appointment on schedule.

We periodically ask you to update your information so that we can offer you the best treatment (changes in your medical history) and quick processing of your insurance claims for payment (changes in your insurance information).

Please bring your insurance cards with you for your appointment so that we may make a copy for your file.

Medical History

Patient Information

Designated Persons

News & Tips

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