Patient Information

Getting Ready For Your First Visit

In order for us to provide the best care for you, it is very important that you bring the following items to your visit:
  • Insurance information and card
  • Photo ID
  • Referral form, if applicable
  • New Patients: please download the patient registration
  • A list of your current medications
  • Medical records from prior visits that you think may be helpful
  • Any pertinent x-rays

Please contact us with any additional questions and we’ll be happy to help you.

Patient Forms

To view the forms listed below, you will need Adobe Reader. You may download Adobe Reader for free at Please bring your completed forms with you to our office at the time of visit.

Before your appointment with us, quickly and conveniently access patient forms from our practice.

Insurance and Insurance Forms

We try to simplify the preparation of your insurance claims; thereby holding down costs that are unrelated to the delivery of quality medical care to you and your family. We file our insurance claims electronically.

Should you have financial problems which result in you delaying payment of your bill, please contact Donna at
(504) 349-6713. We offer flexible financing plans through Care Credit.

Please rememember that insurance is considered a method of reimbursing the patient for fees paid to the doctor and is not a substitute for payment. Some insurance companies pay a fixed allowance for certain procedures, and others pay a percentage of the charge. It is your responsibility to pay any deductible amount, including co-insurance, or any other balance not paid by your insurance company.

Financial Policy

Your clear understanding of our financial policy is important to our professional relationship. The following is a statement of our financial policy that we require you to read prior to any treatment. Please contact us if you have any questions regarding our fees.
  • All patients must complete our patient information form before seeing the physicians.
  • Payment is due at the time of service.
  • We accept cash, checks, Visa, MasterCard, Discover or American Express.
  • Care Credit is a medical card that can give you 6 or 12 months interest free. Ask for details and an application form from our front office staff.


Our Office offers 24-hour physician coverage. When an emergency arises after office hours, call 911 or (504) 349-6713. You will then be instructed as to how to reach our on call provider who will then respond to your call. In this day of complex insurance programs, it is absolutely necessary that you follow your insurance policy regarding emergencies or you may be financially responsible. We therefore recommend that you review your coverage frequently so that you know what your contract requires in an emergency.