Make An Appointment

MAKE AN APPOINTMENT

Complete the form below to begin scheduling an appointment with Crescent City Surgery Centre. Fields with * are required.

appointment-img

    I have previously seen a doctor that is credentialed by Crescent City Surgical Centre.*

    Yes

    I am scheduled to have a procedure by that physician here at Crescent City Surgical Centre.*

    Yes

    Birthdate*

    / /

    Phone*

    Date of Injury if Workers Compensation

    Preferred Date of Visit*

    Preferred Time*

    MorningAfternoon

    Appointment Type*

    Best way to contact

    PhoneEmail

    AFTER BOOKING

    These are the things you need to carry with you when you come in for the appointment with the scheduling and nursing department.

    • Previous Medical History
    • Insurance Card
    • Driver’s License/ID
    • Medications in the original bottle/Accurate list of medications with names and dosages
    • We accept most major credit cards, cash, cashier checks and personal checks as payment