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3525 Prytania St., Suite 614. New Orleans, LA 70115 • (504) 891.8454

Patient Information

Patient Forms

Please print out and complete the following forms in advance and bring them to your appointment.

Download the New Patient Packet

Your Appointment

Please bring the following to your scheduled appointment:

• Your insurance card - Insurance accepted
• A list of current prescription and/or over-the-counter medications you are taking (please include your dose and frequency)
• Pertinent information about your medical and surgical history
• Recent X-rays or other test results related to your condition
• Registration and history forms

Insurance Information

Insurance accepted:

Aetna All Blue Cross Cigna Coventry First Health/Coventry Network Gilsbar Healthcare Networks of America Humana Integrated Health Plans

NPPN Network Office of Group Benefits Peoples Health PHCS/Multiplan PPO Plus GEHA/PPO USA United Health Care Universal Healthcare Wellcare

Dr. Baum accepts most major insurance plans, however, please call our office to verify that we still accept your insurance provider. It is also in your best interest to check your insurance plan's provider list to be sure it permits you to be seen in our office. Please be aware that your insurance provider may require a referral letter from your primary care provider. It is the responsibility of the patient or guardian to pay any co-payments, and other charges not covered by your insurance provider.

Today, many insurance providers require pre-authorization, second surgical opinions, limitations on hospital days, etc. Please review the rules and limitations of your coverage and inform our office of any restrictions.