Pay Your Bill
Services received before October 1, 2024:
Your payment goes to Affinity Health Group
Services received on or after October 1, 2024:
Your payment goes to Baton Rouge Clinic
Not sure where to send your payment? We're here to help! Call us at 318-807-7875 for assistance.
Patient Portal Status
Our patient portal will only maintain records for services prior to October 1, 2024. For any medical records or information related to services on or after October 1, 2024, please contact your medical provider directly.
We want to ensure you're aware of these limitations before proceeding.
Documents & Forms
Documents & Forms
General Forms
General Forms – Spanish
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Información de Paciente (Nuevo Paciente)
Patient Information Form (New Patient) -
Lista de Medicamentos, Vitaminas y Herbolaria Natural
Medication, Vitamins & Herbal List -
Historia Médica de Nuevo Paciente
New Patient History -
Aviso de Prácticas Privadas
Notice of Privacy Practices -
Preferencias de Comunicación
Communication Preferences -
Información de Paciente (Pediatría)
Pediatrics Patient Information Form -
Autorizacion Para Obtener Registros Medicos
Medical Records Release Authorization Form -
Consentimento Para Tratar
Consent to Treat Form
Looking for Something Specific?
Select a clinic from the dropdown below to find the specific documents and/or forms you are looking for.
Feel free to bring a signed copy of the Acknowledgment and Consent form with you, or you can sign it when you check in for your next appointment.