Patient Services: Patient Registration
You have three (3) options for registering for your surgery:
- Complete the Pre-Admission Form below and email it to us.
- Complete the Pre-Admission Form below and Fax it to us at 225-763-6163.
- Complete the Pre-Admission Form below and deliver it to the Surgery Center.
Click on the Pre-Admission Form link below; that will open a PDF file you can complete on your computer. (This document requires that you have Adobe Reader. If you don't have Adobe Reader, click here for a free download.)
Once you have completed the Pre-Admission Form, you will need to print or save it to your computer, then submit in the method most convenient for you:
- Email to firstname.lastname@example.org in one of two ways:
a. Send an email with your completed form as a file attachment.
b. Submit your saved form using the quick form below.
- Fax to 225-763-6163
- Deliver to:
7301 Hennessy Blvd. Suite 100
Baton Rouge, LA 70808
Don't hesitate to call us if you have questions at 225-763-6011. Our staff is ready to assist you and will maintain your confidentiality.