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Patient Plus Urgent Care - Mid City | 2840 Florida Blvd. Baton Rouge, LA 70802

Open daily, 7:30am - 4:30pm

225-224-2402

Electronically fill out the form below, or click here to download the form for email/fax.

Medical Authorization

Insurance Carrier Information: *It is the responsibility of the company to call in a First Report of Injury (Form IA-1) to your worker's compensation insurance carrier.

* Required Field