Forms

Below are links to forms that you can fill out and print. If you have an appointment scheduled, feel free to download any forms you might need and fill them out beforehand to help make your office visit go more quickly. We will add more forms to this page over time, so be sure to check back again soon for updates.

If you have any questions about these forms or how to fill them out, please call us at 225-767-5479 or, toll free, at 877-767-5479.

All forms are in the Adobe Acrobat (PDF) file format. You will need to download and install the Adobe Acrobat Reader program if your computer does not already have the program installed. You can download the program for free by clicking here.


Patient Registration

If any of the following apply to you, then you will need to fill out the Patient Registration form before or when you visit us for an appointment:

  • If you are a new patient
  • If you have not visited us at our present office location
  • If you have not previously had an in-office appoint with us
  • If you have not been to the Vascular Clinic for an appointment in the last six months

Click HERE for the Patient Registration form.
You can fill out and print the registration form, or print it and then fill it out by hand.


Notice of Privacy Policies

This document describes how information about you (our patient) may be used and disclosed, and how you can get access to this information.

Click HERE for the Notice of Privacy Policies.