Refer A Patient
To refer a patient, please use one of the following referral options below.
We take our responsibility to maintain patient privacy very seriously
and recommend you consult your hospital’s HIPAA Privacy Officer
to ensure your obligations with respect to patient privacy are being met
and are compliant with your hospital’s internal guidelines and policy
requirements associated with photographing patients.
Please call (225) 387-7717 after submitting your patient referral.
Photo Upload Form (Preferred)
Photos may be uploaded by using the
form below in a secure fashion through the webpage's encryption. Recommended
files for upload include jpg, tif and pdf.
Submit a Referral
If your hospital has email encryption tools available, you may send a secured
email. Check with your hospital privacy officer or technology department
on the availability of email encryption tools.
For Adult Burns (patients 15 and older) email:
For Pediatric Burns (patients 14 and younger) email:
Burn Patient Referral Form
Baton Rouge General’s Regional Burn Center provides resources for
clinicians to use when caring for burn patients.