Please complete these registration forms prior to your appointment and mail or fax to:

Mail:
Colon & Rectal Associates
1811 E. Bert Kouns, #430
Shreveport, LA 71105

Fax:
318-424-6477

Please also bring the forms with you, along with proof of insurance and your photo ID, to our check-in window. We will enter this information into our electronic health record system.

• Registration Form
• Consent for the Use or Disclosure of Protected Health Information
  
• Referral (Authorization) for Being Seen in the Office
• Authorization for the Disclosure of Protected Health Information

Here’s how to prepare for your next appointment.