• Patient Registration Forms
  • Consent to photograph
  • Patients Individual Rights
  • Information for Patients
  • Questionnaires
  • Request for medical records
  • Patient Authorization for use and disclosure of PHI
  • Update to patient information

Baton Rouge Multi-Specialty Care Center >> Health & Care Forms

A Model Medical Home Facility,

Putting Patients First

Office Hours

Monday - Friday:      8:00 - 5:00 PM

Saturday:                                Closed

Sunday:                                   Closed

Baton Rouge Office

3844 & 3850 Convention St.

Baton Rouge, LA 70806

PH: (225) 289-6803

Fax: (225) 308-2000

Gonzales Office

826 W Highway 30 Suite D

Gonzales, LA 70806

PH: (225) 289-6803

Fax: (225) 308-2000

Seeing a doctor can involve a lot of paperwork—especially for first-time patients. Baton Rouge Multi-Specialty Care Centers wants to save you time and ensure you can prepare all the information we need by posting forms online. That way, you can fill them out at home before your appointment and hand them in as soon as you arrive.

These forms include general patient information, vaccine history, medical history, sports eligibility forms, questionnaires designed to uncover the cause of specific symptoms, and more. You can fill them out electronically and print them out or print them out and fill them out by hand. If you need a certain form that is not included here, please let us know and we will try to make it available online for patients. Click on the links below to download the forms you need.


Contact Us