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Patient Registration
For registration at The Baton Rouge Clinic, AMC
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Medical Records
Release of Protected Health Information:
- HIPAA PRIVACY NOTICE
- RELEASE FROM THE BATON ROUGE CLINIC, AMC
- RELEASE TO THE BATON ROUGE CLINIC, AMC
For the release of Medical Records
Phone: (225) 246-9770
Fax: (225) 246-9209 -
National Institute for Children's Health Quality (NICHQ) Forms for Pediatric Patients
These forms are part of a child’s comprehensive assessment for ADD/ADHD.
- MyChart Proxy Forms
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Dermatology Forms & Information
Instructions for before and after procedures and brochure overview.
- COSMETIC SERVICES BROCHURE
- PRE PROCEDURE BBL
- POST PROCEDURE BBL
- PRE PROCEDURE LASER HAIR REDUCTION/REMOVAL
- POST PROCEDURE LASER HAIR REDUCTION/REMOVAL
- PRE PROCEDURE LASER RESURFACING
- POST PROCEDURE LASER RESURFACING
- PRE PROCEDURE MICRO LASER PEEL
- POST PROCEDURE MICRO LASER PEEL
- PRE PROCEDURE PROFRACTIONAL
- POST PROCEDURE PROFRACTIONAL
- SCLEROTHERAPY PATIENT INSTRUCTIONS
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Miscellaneous Forms
General forms as recommended by our doctors.
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MRI Forms
Questions, surveys and authorization forms.
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Application for Employment
Paper application for employment