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Miscellaneous Forms
The Baton Rouge Clinic provides the following forms to save our patients time in the waiting area, provide a venue for feedback and allow new patients to contact us.
* MEDICAL RECORDS: Release of Protected Health Information:
Release FROM The Baton Rouge Clinic, AMC
Release TO The Baton Rouge Clinic, AMC
* MRI FORMS: Questions, surveys and authorization forms.
MRI Procedure History Form
MRI Screening Questionnaire (Hazard Checklist)
MRI Patient Instructions
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Kids on the Geaux Weighs in Against Pediatric Obesity
Are you concerned about your child's weight?
The Baton Rouge Clinic Sponsors Fill A Prescription for the Needy
The Baton Rouge Clinic partners with WBRZ News 2 Louisiana, Forum 35 and the St. Vincent de Paul Community Pharmacy to support Fill A Prescription for the Needy!
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