Request for Medical Records

Copies of your medical records can be obtained by submitting a written request to the Health Information Management (HIM) Department. In accordance with state law, a fee may be charged.

For your convenience, we have provided a printable copy of the Patient Access & Authorization form:

Please send completed forms to:
Northshore Rehabilitation Hospital
64030 State Highway 434
Lacombe, LA  70445
Attention: HIM Department

For any questions, please contact the HIM Department at
(985) 218-4669.