Appointments Please use this form for general information purposes only. DO NOT send personal health information through this form. Specific patient care must be addressed during your appointment.Please complete the following form to request an appointment. Please also note that availability will vary depending on your request. Your appointment will be confirmed by phone by a member of our staff. We maintain a 24 hour cancellation policy. If you do not cancel earlier than 24 hours prior to your appointment you will be charged a $35 fee. Please call our office to cancel your appointment at (225) 658-8283. Thank you!Name*Phone*Email* Nature of VisitCAPTCHAEmailThis field is for validation purposes and should be left unchanged.