Otolaryngology • Head & Neck Surgery • Allergy • Audiology

Forms

To expedite your appointment, you can print our forms and fill them out prior to your arrival. Please remember to bring your most recent insurance card.

Medical History Form

Patient's Registration Form

Allergy History Questionnaire

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Located in the Physicians Plaza at the Surgical Specialty Centre

8080 Bluebonnet Blvd. Suite, 2222
Baton Rouge, LA 70810
Phone: 225.769.2222
Fax: 225.766.2068