Patient Forms

Provided below are various forms that require completion prior to your visit and/or surgery. Please download the appropriate form by clicking on the name of the form. If you cannot access the forms, please click on the Adobe box. This will allow you to download this software, providing access to the forms.

Completed forms should be received by our office at least 1 working day prior to your first visit. Forms can be faxed to 985.625.2206. This will help expedite the registration process and reduce your wait time in the clinic. Thank you.

Ortho LA Patient Registration Form
Patient Medical History Form
Hippa Forms

You will need the Adobe Reader to view and print these documents.