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Legacy Pediatrics
107 Contempo Ave. Ste. 2,
West Monroe, LA 71291
(318) 324-0111
Clinic@LegacyPediatrics.org
Mon-Thur: 8 am-5 pm
Fri: 8 am-12 pm
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Forms

FORMS

Registration Form
Medical History Form
Newborn History Form
Release of Information Form
Vanderbilt ADHD Teacher Assessment Form
Vanderbilt ADHD Parent Assessment Form
Legacy Notice of Privacy Practices

Office Hours
Office Hours Open Monday – Thursday 8:00am – 5:00pm Friday 8:00am – 12:00pm
Contact Information
Contact Information
Find out how to reach us.
Forms
Forms
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Contact Information
  • 107 Contempo Ave. Ste. 2,
    West Monroe, LA 71291
  • Email: Clinic@LegacyPediatrics.org
  • Phone: (318) 324-0111
  • Fax: (318) 324-9679
  • Mon-Thurs: 8 am-5 pm
    Mon-Fri: 8 am-12 pm
Legacy Pediatrics
Legacy Pediatrics © 2026