Home / Litigation Forms

Litigation Forms

These forms are for our patients who require legal forms for their claims process.

Please download the forms below by clicking on the individual titles.  You will be directed to a page where you can view, download, and then print the form.  There are instructions on the forms to help you complete them.  If you have any questions please call the office closest to you for help.

Abbeville:    337-893-3354

Maurice:      337-893-3553 

Medical History

Letter of Assignmemnt

Health Insurance Claim Form

Patient Data

Insurance Lien

Agreement

Attorney Lien