Phone: (225) 769-4044

Baton Rouge Clinic Billing Inquiry

NOTICE: This form is intended for inquries only and not for payments. Please do not submit the form with any credit card or other personal or confidential information.

In order that we may respond to you more quickly, please do not duplicate this request by phone or mail.

Our policy is to reply to your request within 10 working days. The response will be in writing if the content is deemed confidential. Patients/guarantors will be notified in writing or by telephone if the request will require more than 10 days to answer.

The Billing Department operates from 8:30 am to 4:30 pm Monday through Friday. You can reach us at (225) 246-9304.

Contact Name:
Patient Name:
Account Number:
Patient Date:
of Birth:
Daytime Phone: () -
Contact Email:
Inquiry: