38384 HWY 42 Prairieville, LA 70769

Current Patients 225-673-9535

New Patients 225-673-9535

Prairieville, LA Dentist Office Patient Forms

Absolute Quality Care is your local dentist office in Prairieville, LA for the long-term maintenance of a healthy, beautiful smile. We are very much looking forward to seeing you at your next dental appointment. To best prepare for your upcoming appointment, please fill out the following required patient forms. If you have trouble downloading or printing out these forms, please contact our office directly for further assistance.

Patient Registration Information

This form provides our office with an overview of your basic information, including your name, address, and contact information.

Patient Medical History

This form gives our team a broader understanding of your medical history to adequately prepare for your upcoming appointment and treatment planning needs.

Consent For Dental Treatment

State law requires us to obtain your consent for dental treatment.

Authorization, Release and Agreement To Pay For Services Rendered

This form authorizes the dentist to release any information including the diagnosis and the records of any treatment or examination rendered during the period of such dental care to third-party payers and/or other healthcare practitioners. It also is an acknowledgement of your understanding of our Late Charges policy.

Please reach out to us if you have questions or concerns about these forms. We are happy to help you navigate this paperwork and prepare for your upcoming appointment.