Request an appointment Appointments for Both Locations Please contact our office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment. Please do not use this form to cancel or change an existing appointment. NameEmail PhoneAre you a current patient?YesNoWhich office location would you like to schedule with?LafayetteBroussardPreferred day(s) of the week for an appointment? (Check all that apply.) Any Monday Tuesday Wednesday Thursday Friday Please describe the nature of your appointment (e.g., consultation, checkup, etc.): Welcome About Us Our Services Resources Appointments Sitemap Contact Patient Reviews Financing Make a Payment Privacy Policy Follow