Office Hours Monday thru Thursday 8AM - 5PM Fridays 8AM - 12PM Lab Hours Monday thru Thursday 7:45AM - 11AM & 1PM - 3PM Friday 7:45AM - 11AM Telephone 337-237-7801
Office HoursMonday thru Thursday  8AM - 5PMFridays 8AM - 12PMLab HoursMonday thru Thursday 7:45AM - 11AM & 1PM - 3PMFriday 7:45AM - 11AM Telephone 337-237-7801

Patient Forms

Your time is just as valuable to us, as it is to you!!!  In order to reduce time while checking in as a new patient, please print and fill out the following forms to bring with you for your first appointment.  You will also need to provide your valid drivers license and insurance card(s).

Dr. Lipstate- New Patient
Here is a new patient packet. Please print, fill out PRIOR to your appointment, and bring with you for the first appointment with Dr. Lipstate! Included in this packet are detailed driving directions to our office!
Dr. Lipstate New Patient Packet.docx
Microsoft Word document [259.0 KB]
Dr. Malin- New Patient
Here is a new patient packet. Please print, fill out PRIOR to your appointment, and bring with you for the first appointment with Dr. Malin! Included in this packet are detailed driving directions to our office!
Dr. Malin's New Patient Packet.docx
Microsoft Word document [258.3 KB]
Dr. Fontenot- New Patient
Here is a new patient packet. Please print, fill out PRIOR to your appointment, and bring with you for the first appointment with Dr. Fontenot! Included in this packet are detailed driving directions to our office!
Dr. Fontenot New Patient Packet.docx
Microsoft Word document [266.6 KB]
Dr. Baquet- New Patient
Here is a new patient packet. Please print, fill out PRIOR to your appointment, and bring with you for the first appointment with Dr. Baquet! Included in this packet are detailed driving directions to our office!
Dr. Baquet New Patient Packet.docx
Microsoft Word document [273.6 KB]

Don't forget to bring your insurance information with you

In order to register and treat you promptly, we request that our patients bring their current insurance information with them for every visit.

Notice of Privacy Practices
Here is an entire copy of our Notice of Privacy Practices form.
Notice of Privacy Practices Entire Form.[...]
Adobe Acrobat document [2.0 MB]

Important telephone numbers in case of emergencies:

Organization Telephone Number
Emergency Services & Fire Department 911
Centers for Disease Control and Prevention 800-CDC-INFO (800-232-4636)
   
   

 

 

 

 

 

 

The clinic will be closed March 29, 2024 

for Good Friday.

 

We are located at

4212 W. Congress Street

Mailing - Suite 2300A

Physical - Suite 2300A and B

Lafayette, LA 70506

337-237-7801

 

Fax - Dr. Todd Baquet

337-233-2965

Suite 2300B

Fax - Dr. Justin Fontenot

337-233-5799

Suite 2300B

Fax -Dr. James Lipstate

337-235-1865

Suite 2300A

Fax - Dr. Jennifer Malin

337-235-1865

Suite 2300A

Fax - Dr. Laura Rivers

337-235-1865

Suite 2300A

 

 

 

 



Before your visit, make sure to download and print out our patient forms.

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