top of page
Untitled design (10).png
River Cities Graphics (58).png

Online Forms and Medical Records

Thank you for choosing our office for your medical care. Please take a few moments to review the items below as each of these answer most general questions about our practice policies.

Online Forms

New Patient PacketNotice of Privacy PracticesGeneral Office PoliciesFinancial PolicyFollow Up Visit PaperworkReceipt of Privacy PracticesPatient Demographic FormPayment Plan AgreementConsent to Treat

Medical Records

New and returning patients often need to have certain medical records sent to our office to assist in their diagnosis and treatment.  If you need your current (or previous) provider to send your records to RCIPS, a request form may be obtained at the clinic, or through this link:

If you require copies of your medical records, please download the form from the link below. If you are requesting records from RCIPS, return the completed form to our office. 

Please allow 5–7 business days for record processing.

Records can be mailed to:

​

River Cities Interventional Pain Specialists

Attn: Medical Records

8731 Park Plaza Drive

Shreveport, LA 71105

Fax: (318) 797-5844

Getting Records to Us

You have three options for submitting your completed new patient paperwork before your appointment:

 

  1. Bring it with you — print, complete, and bring all forms to your appointment. Arrive 30 minutes early.

  2. Fax it in advance — fax completed forms to (318) 797-5844 before your appointment date.

  3. Mail it in advance — mail completed forms to our office at 8731 Park Plaza Drive, Shreveport, LA 71105, Attn: New Patient Coordinator.

 

✓ Faxing or mailing your forms in advance is the fastest way to ensure your appointment runs on time. Our team will have your information ready when you arrive.

Subheading (9).png
bottom of page