Park Plaza Surgical Specialists strives to keep open and clear communication with its referring physician community.
If you would like to refer a patient for interventional pain care you will find our referral form below.
When referring a patient, the information we need is:
- Park Plaza Surgical Specialists Referral Form (below)
- Patient Demographics
- History and Physical Notes
- Medication Summary
- Diagnostic Imaging (MRI, CT, X-Ray)
- Fax to 318-703-2645
To schedule an appointment