Request an Appointment Use the form below to request an appointment or Call or Text us at 225-926-2400! Name * First Name Last Name Email * Phone * (###) ### #### Preferred Date * MM DD YYYY Preferred Location * Jefferson Clinic - Near Towne Center Bluebonnet Clinic - Between Perkins & Highland Road Preferred Time * Morning Afternoon Evening How did you hear about us? Physician Referral Google Facebook Friend/Family Additional Comments Thank you!