ACADIANA MEDICINE CLINIC      1200 Hospital Drive, Suite 4      Opelousas, LA  70570      (337)948-7090

NEW PATIENT FORMS:  There are four forms that we ask our new patients to  complete   

                                           for the registration process.  

                                           Once the appointment date is assigned, please download and

                                           complete these forms and bring them with  you, along with your

                                           pictured ID, insurance card(s), medication(s).

                                           Note: Adobe PDF reader is required to open these files.

Patient Information form

  Consent form

HIPAA release authorization

Release authorization to Family/Friends