Helpful Forms

If you would like to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:

Note: To download Adobe Acrobat Reader for free, click here 


 


 


 

Dr Renee Babin Bonin, LLC
200 Beaullieu Dr.
Bldg 9B-1
Lafayette, LA 70508
P: 337 504-3483
F: 337 504-3573

Office Hours:
Monday - Thursday 8:00 AM- 5:00 PM

The office staff does not answer phone calls during lunch. Please leave a voicemail and we will get back to you within one business day.

[email protected]