Front Desk Forms

Adobe Acrobat Reader is required in order to print the provided forms; it is available as a free download from or by clicking this link. Please fill in all of the items as completely as possible by printing clearly in black or blue ink. Bring these completed forms with you and present them when you check-in for your appointment. Please have your most current insurance card and picture identification with you. If you have a copay then you will provide that at the time of your visit.

Baton Rouge Orthopaedic Clinic strives to provide you the best possible patient experience. Please take a moment to fill out our Patient Satisfaction Survey below.


The following information below is provided for educational purposes only and does not necessarily reflect the diagnoses or treatment options specifically prescribed by your physician. Please discuss all treatment procedures and options with your physician before making any medical decisions.