Your First Visit

Please download/read/ fill out all the attachments below. Please complete this prior to your initial visit to the office. Once completed, please bring all the information with you to your first visit. Do not wait to fill this out in the waiting room. If you do not have these forms available at your appointment time, your appointment may be cancelled. The forms will take approximately an hour to complete.

If you have any issues or questions about these forms please call  (318)-550-3398

 

1. Instructions 2. New Patient Registration 3. Health Insurance Information 4. Assignment Of Benefits 5. Privacy Practice 6. Office Policies Update 7. Acknowledgement Of Receipt 8. Self Report 9. Women Questionnaire 10. Authorization Release 11. Direction To Clinic