Phone: 337.500.1500 ​/ 337.500.1501                       Email: lesliejacobsdds@gmail.com

Website: Makeyourkidssmile.com

Click here to like us on Facebook

    Click here to follow us on Instagram​​

We invite all new patients to fill out their information electronically!

New Patient Information

Insurance Information

HIPAA 

(Last page must be signed by a parent.)

Financial Policy

Dr. Jacobs is currently located at 113 Rue Fontaine, Lafayette, LA 70508.

 

From North Lafayette: Driving South on Kaliste Saloom Rd, turn left onto Rue Louis XIV. Turn left onto Drury Ln and follow it to the right onto Rue Fontaine.

 

From South Lafayette: Driving North on Kaliste Saloom Rd, turn right onto Rue Louis XIV. Turn left onto Drury Ln and follow it to the right onto Rue Fontaine.

Contact Us: 

Hours: Monday- Thursday 8:00am - 5:00pm

New Patient Forms

Directions