Please review the document above first to read our standard procedure for requesting Medical Records.
For personal use or delivery to a provider outside of Regional Urology, please complete the following form:
Fax the form to (318) 683-0743, or submit it by mail or in person to:
Attn: Medical Records
255 Bert Kouns Industrial Loop
Shreveport, LA 71106
Requests are normally processed with in 15 days; however, we try to get them processed earlier. We will notify you when your records are ready for pick up.
Please be prepared to present a photo ID when picking up your records. If extenuating circumstances prevent you from picking up your records in person from our business office, call 318-683-0411 extension 251 to arrange an alternate delivery method.
Legal & Insurance Requests
Insurance companies and law firms requesting patient records may call 318-683-0411 or fax your request to (318) 683-0743.