Pre-Registration to Deliver at Women's & Children's Hospital

Option #1: 

Pre-Register online using our Online Pre-Registration Form>>

Option #2:

Call 337-521-9100 x 5740 and ask to speak with the financial counselor.

Option #3:

Download our Maternity Pre-Registration Form>>

Returning Your Pre-Registration Form

Once you have completed the form and have made copies of your insurance card (both sides), 
you may either:

Fax it back to us at  337-521-9181

Or mail it to us at:

Women's & Children's Hospital
Attn: Financial Councelor
4600 Ambassador Caffery Parkway
Lafayette, LA 70508

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