Patient Forms

Contact Us

Houma, LA
685 Corporate Dr.
Houma, LA 70360

Metairie, LA
4937 Hearst St. Suite 2L
Metairie, La 70001
Phone: 504-887-0730
metqt@yahoo.com

Baton Rouge, LA
3939 South Sherwood Forest
Baton Rouge, LA 70816
Phone: 225-293-5050
brqt@att.net

Covington, LA
Holly Crest Plaza 600 N., Hwy 190, Suite 3 Covington, LA 70433
Phone: 985-893-2130
covington600@yahoo.com

Alexandria, LA
5615-B Jackson St. Ext., Ste 102 Alexandria, LA 71303
Phone: 318-443-1111
alexquicktrim@att.net

Shreveport, LA
1409 East 70th St, Suite 114 Shreveport, LA 71105
Phone: 318-797-1899
shrevequicktrimweightloss@gmail.com


I understand and agree that any information submitted will be forwarded to our office by email and not via a secure messaging system. This form should not be used to transmit private health information, and we disclaim all warranties with respect to the privacy and confidentiality of any information submitted through this form.

Call or Visit One of Our Convenient Locations Today