Please complete your registration information online before your visit with us.  This will save you time in our office!

If you are unable to complete your registration online, please print and complete the forms below and bring them with you to your first appointment.  Thank you!

Health History Form

Financial Policy

Notice of Privacy Practices

Acknowledgement of Receipt of Privacy Practices

Consent for General Medical Treatment

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© 2020 Louisiana Oral & Implant Surgery

4720 Lake Street

Lake Charles, LA 70605

(337) 888-4771

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