Greater New Orleans Surgery Center
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Dr. Aiken
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Dr. Zeringue
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Quality Care that is Convenient and Efficient
Dr. Zeringue's Forms
Document Library
Name
Description
Patient Consent
Original
Patient Consent
Cervical Epidural Steroid Injection
Patient Consent
Facet Injection
Patient Consent
Lumbar Discogram
Patient Consent
Lumbar Epidural Steroid Injection
Patient Consent
Lumbar Sympathetic Nerve Block
Patient Consent
Medial Branch Block of the Cervical Spine
Patient Consent
Medila Branch block of the Lumbar Spine
Patient Consent
Pain Multiple Procedures
Patient Consent
Radiofrequency Ablation of Medial Branch Nerves of the Cervical Spine
Patient Consent
radiofrequesncy Abalation of the Medial Branch Nerves of the Lumbar Spine
Patient Consent
Sacroiliac Joint Injection
Patient Consent
Slinal Cord Stimulator Implantation
Patient Consent
Spinal Cord Stimulator Trial
Patient Consent
Stellate Ganglion Block
Patient Consent
Superior Hypogastric Block
H & P
History and Physical
Discharge Instructions
Post Op
Discharge Instructions
Arthrogram
Pre Op Instructions
To be given out by doctor's office
Patient Instructions
Meds to stop
Scheuding Request
Scheduling
Physician Orders
Original
Physician Orders
Pre Op
Physician Orders
Post Op
Physician Orders
Pre Op - Spinal Cord Stimulators Trials and Implants
Physician Orders
Post Op - Spinal Cord Stimulators Trials and Implants
Physician Orders
Pre Op/Post Op
Document Library
Name
Description
Op Reports
1 Level Facet Auto OS
Op Reports
1 Level Facet Bilateral Auto OS
Op Reports
1 Level Lumbar bilateral MBB Auto OS
Op Reports
1 Level Lumbar bilateral pars Auto OS
Op Reports
2 Level Facet Auto OS
Op Reports
2 Level Facet Bilateral Auto OS
Op Reports
2 Level Interspinous Ligament Auto OS
Op Reports
2 Level Lumbar Bilateral MBB Auto OS
Op Reports
2 Level Lumbar MBB Auto OS
Op Reports
3 Level Facet Auto OS
Op Reports
3 Level Lumbar MBB Auto OS
Op Reports
3 Level Lumbar MBB Bilateral Auto OS
Op Reports
3 single needle lumbar bilateral RF 2
Op Reports
3 single needle lumbar one sided RF
Op Reports
4 Level Lumbar MBB Auto OS
Op Reports
4 Level Sacral MBB Auto OS
Op Reports
4 Level RF Auto DSCH
Op Reports
4 single needle lumbar bilateral RF 2
Op Reports
4 single needle lumbar one sided RF
Op Reports
6 Level SI RF Auto DSCH
Op Reports
Ankle Injection Auto OS
Op Reports
Ankle Visco Injection Auto OS
Op Reports
Bilateral GTB Injection Auto OS
Op Reports
Caudal Blood Patch with Catheter Auto DSCH
Op Reports
Caudal ESI Auto DSCH
Op Reports
Caudal ESI Auto OS
Op Reports
Caudal ESI with Catheter Auto DSCH
Op Reports
Cervical ESI AUTO DSCH
Op Reports
Cervical ESI Auto mz
Op Reports
Cervical ESI with Catheter Auto DSCH
Op Reports
Cervical Facet Prone 1 Lvl Bil Auto DSCH
Op Reports
Cervical Facet Prone 2 Lvl Auto DSCH
Op Reports
Cervical Facet Prone 2 Lvl Bil Auto DSCH
Op Reports
Cervical Facet Prone 3 Lvl Auto DSCH
Op Reports
Cervical Facet Prone 3 Lvl Bil Auto DSCH
Op Reports
Cervical Facet Prone 4 Lvl Auto DSCH
Op Reports
Cervical MBB 3 Lvl Auto DSCH
Op Reports
Cervical MBB 3 Lvl Bilat Auto DSCH
Op Reports
Cervical MBB 4 Lvl Bilat Auto DSCH
Op Reports
Cervical MBB 5 Lvl Auto DSCH
Op Reports
Cervical RF 3 Lvl Auto DSCH
Op Reports
Cervical RF 4 Lvl Auto DSCH
Op Reports
CT Arthrogram Glenohumeral Auto OS
Op Reports
Cyst Aspiration and LESI Midline Auto OS
Op Reports
Discogram 1 Level Auto
Op Reports
Discogram 2 Level Ana Auto
Op Reports
Discogram 2 Level Auto
Op Report
Discogram 3 Level Auto
Op Report
Discogram 4 Level Auto
Op Report
Discogram 5 Level Auto
Op Reports
Elbow Injection Auto OS
Op Reports
Facet Asp Caudal ESI with Catheter Auto DSCH
Op Reports
Glenohumeral and Bursa Injection Auto OS
Op Reports
Glenohumeral Injection Auto OS
Op Reports
Glenohumeral Injection Bilateral Auto OS
Op Reports
Glenohumeral Visco Injection Auto OS
Op Reports
GTB and Piriformis Injection Auto OS
Op Reports
GTB Injection Auto OS
Op Reports
Hardware Injection Auto OS
Op Reports
Hip and GTB Injection Auto OS
Op Reports
Hip Botox Injection Auto OS
Op Reports
Hip Injection Auto OS
Op Reports
Hip Visco Injection Auto OS
Op Reports
Impar Block Auto OS
Op Reports
Intercostal Block 2 Lvl Auto DSCH
Op Reports
Knee and Pes Injection Auto OS
Op Reports
Knee Bilat Visco Injection Auto OS
Op Reports
Knee Bilateral Injection Auto OS
Op Reports
Knee Injection Auto OS
Op Reports
Knee US Bakers Cyst Asp Auto OS
Op Reports
Knee Visco Injection Auto OS
Op Reports
L1L2L3 RF Bilateral Auto DSCH
Op Reports
L2L3L4L5 RF Auto DSCH
Op Reports
L2L3L4L5 RF Bilateral Auto DSCH
Op Reports
L3L4L5 RF Auto DSCH
Op Reports
L3L4L5 RF Bilateral Auto DSCH
Op Reports
L4L5 Bilateral RF Auto DSCH
Op Reports
L4L5 RF Auto DSCH
Op Reports
LESI Midline Auto OS
Op Reports
LESI PM Auto OS
Op Reports
Lumbar 3 lvl RF Auto DSCH
Op Reports
Lumbar ESI Midline Auto DSCH
Op Reports
Lumbar ESI with Catheter Auto DSCH
Op Reports
Lumbar Facet 1 lvl Auto DSCH
Op Reports
Lumbar Facet 1 lvl Bil Auto DSCH
Op Reports
Lumbar Facet 2 lvl Auto DSCH
Op Reports
Lumbar Facet 3 lvl Auto DSCH
Op Reports
Lumbar Facet Bilateral 2 lvl Auto DSCH
Op Reports
Lumbar Facet Bilateral 3 lvl Auto DSCH
Op Reports
Lumbar Facet Bilateral 4 lvl Auto DSCH
Op Reports
MR Arthrogram Elbow Auto OS
Op Reports
MR Arthrogram Glenohumeral Auto OS
Op Reports
Sacroliac and Piriformis Injection Auto OS
Op Reports
Sacroliac and Pseudo Injection Auto OS
Op Reports
Sacroliac GTB and Piriformis Injection Auto OS
Op Reports
Sacroliac Injection Auto OS
Op Reports
Sacroliac Injection Bilateral Auto OS
Op Reports
SNRB 2 Lvl Auto OS
Op Reports
SNRB Auto OS
Op Reports
Stellate Ganglion Oblique Auto DSCH
Op Reports
TD DSCH
Op Reports
TF ESI with Catheter Auto DSCH
Op Reports
Thoracic ESI with Catheter Auto DSCH
Op Reports
Thoracic Facet 2 Lvl Auto DSCH
Op Reports
Thoracic Facet 3 Lvl Auto DSCH
Op Reports
Thoracic Facet 4 Lvl Bil Auto DSCH
Op Reports
Thoracic Facet Bilateral 3 Lvl Auto DSCH
Op Reports
Thoracic MBB 2 Lvl Auto DSCH
Op Reports
Thoracic MBB 2 Lvl Bil Auto DSCH
Op Reports
Thoracic MBB 3 Lvl Auto DSCH
Op Reports
Thoracic MBB 3 Lvl Bil Auto DSCH
Op Reports
Thoracic MBB 4 Lvl Auto DSCH
Op Reports
Thoracic MBB 4 Lvl Bil Auto DSCH
Op Reports
Thoracic MBB 5 Lvl Auto DSCH
Op Reports
Transdiscal Auto
Op Reports
Transforaminal 2 level ESI Auto OS
Op Reports
Transforaminal 3 level ESI Auto OS
Op Reports
Transforaminal ESI Auto OS
Op Reports
US Guided Piriformis and Sciatic Injection Auto OS
Op Reports
US Guided Piriformis Injection Auto OS
3434 Houma Boulevard
Metarie, LA 70006
Phone: 504.454.2017
Fax: 504.454.2142
