Schedule an appointment

602 N. Acadia Road, Suite 101 Thibodaux, LA 70301
View Map
Call Us: (985) 446-6284
(800) 521-2847

Patient Forms:

You should have with you the following when arriving for your appointment:

  • Photo ID (i.e. driver’s license)
  • Your current insurance card(s)
  • Your co-pay as indicated in your insurance contract .
  • Any previous x-rays or medical records that pertain to your treatment
  • A list of your current medications
  • Referral from your Primary Care Physician, if your insurance requires.

Click Below for Downloadable Forms (PDFs):

1.) Patient Registration Form
2.) Form for Clinic to Obtain Your Records
3.) Form for Clinic to Release Your Records

Other Downloads:

1.) Patient Privacy Information
2.) Office and Financial Policy Information