Request Your Medical Records

Copies of medical records can be obtained by mailing a completed Patient Access and Authorization form to our Medical Records Department at the address below.

Medical Records Department
Northshore Rehabilitation Hospital
64030 LA-434
Lacombe, LA 70445

For your convenience, a PDF copy of the forms are available below.

• Patient Access and Authorization form – English
• Patient Access and Authorization form – Spanish

NOTE: In accordance with state law, a fee may be charged.