Baton Rouge 225-767-0646         Covington 985-212-7972

Regenerative Medicine Forms


In order to expedite your visit, please complete the following forms and bring printed copies for your visit. If you are unable to 30 minutes prior to your appointment to allow time to complete them. 


Autoimmune Form

Candida Form

Communication Consent Form

HIPAA Consent Form

HRT Consent Form

Intake Form

Medical Records Release Form