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985-873-8586
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Exclusive Offer

Exclusive Offer, New Patients receive Free Consultation.

Sign-up using the form or call us at 985-873-8586 (Houma) or

985-447-2225 (Thibodaux) to take advantage of this exclusive offer.

Houma-Thibodaux Spine & Rehabilitation offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Form


Automobile Accident Questionnaire

Download & Print Form


Worker's Compensation Accident Questionnaire

Download & Print Form


Slip and Fall Accident Questionnaire

Download & Print Form


Download the Free AdobeReader®

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Services
We strive to provide complete care for our patients. Learn more about all the services we provide.
Make An Appointment
We will do our best to accommodate your busy schedule. Schedule an appointment today!
Online Forms
Our patient forms are available online so they can be completed in the convenience of your own home or office.