Skip to content

Patient Forms and Visit Preparation

For new patients, filling out our forms before your visit will help streamline your check-in process, and provide you with more time to ensure the information is accurate and legible.

Urology Patients


Urology Registration Form

Please complete the online form above at least 5 days prior to your scheduled appointment time.

If you have trouble completing the online form, a paper copy may be obtained by calling our main office at (337) 233-6665 and requesting a blank New Urology Patient packet from Medical Records.

General & Oncology Surgery Patients


General Surgery Registration Form

For Doctors Henry Kaufman, Jason Breaux and Jacob Landry, please click the button above to download, print and complete the New Patient Packet and bring it to your visit.

Radiation Therapy Patients


Radiation Therapy Registration Form

For Radiation Therapy patients seeing Dr. Jason Shumadine, please complete the online form above at least 5 days prior to your scheduled appointment time.

If you have trouble completing the online form, a paper copy may be obtained by calling the Radiation Center at (337) 769-7779 requesting a blank New Radiation Therapy Patient packet from Medical Records.

CT Patients


CT Registration Form

For Diagnostic CT patients, please complete the online form above at least 5 days prior to your scheduled appointment time.

If you have trouble completing the online form, a paper copy may be obtained by calling the Radiation Center at (337) 769-7779 requesting a blank New CT Patient packet from Medical Records.