To obtain a copy of your medical records, please complete the form:
HIPAA Compliant Patient Authorization to Release Medical Records
Return the completed form one of three ways:
EMAIL: medsouth@louisianapain.com
FAX: 985-951-7101
US MAIL:
Louisiana Pain Specialists
C/O MedSouth
PO Box 1630
Mandeville, LA 70470
We will mail records to you directly based upon the address you provide on the form. In addition, you will receive an invoice reflecting a nominal fee to help cover expenses associated with processing your request.