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Louisiana Pain Care

Louisiana Pain Care

  • About Us
  • Meet Our Team
    • Meet Our Physicians
    • Meet Our Nurse Practitioners
  • Services
    • Regenerative Medicine
    • Back and Neck Pain
    • Arthritis Care
    • Compression Fractures
    • CRPS/RSD Treatment
    • Help for Shingles
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Patient Forms

Thank you for selecting Louisiana Pain Care of Monroe and Ruston for your pain management care. To schedule an appointment, please call us at (318) 323-6405 or use our online appointment request form.

Once you have made your initial appointment, you may preregister by downloading, printing, and completing the forms below. Doing so prior to your visit will help speed up the new patient registration process.

Please be sure to bring forms with you to your first visit along with any diagnostic films or other test results that may have been ordered or performed by another physician.

Established patients can update forms online through our patient portal. If you need help accessing the portal, please call the office and we’ll be happy to help.

Downloadable Forms:

  • New Patient Registration Packet
  • Health History
  • Pre-Procedure and Post-Procedure Instructions
  • Nondiscrimination Notice (English)
  • Nondiscrimination Notice (Vietnamese)
  • Nondiscrimination Notice (Spanish)
  • Physician Referral Document

Please note:  It may take a few moments to load the forms if you are using a slow internet connection. If you are unable to view the forms, you may need to download Adobe Acrobat Reader for free by clicking on the icon below.

Request an Appointment

Provide your contact information and we’ll contact you as soon as possible to schedule your appointment.

Request Appointment

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MONROE LOCATION

210 Layton Avenue
Monroe, LA 71201
Phone: (318) 323-6405
Fax: (318) 807-0205

RUSTON LOCATION

1809 Northpointe Lane
Ruston, LA 71270
Phone: (318) 323-6405
Fax: (318) 807-0205

Copyright © 2023 · Louisiana Pain Care, Pain Management . All Rights Reserved.

At Louisiana Pain Care in Monroe and Ruston, LA, our board-certified, fellowship-trained pain management physicians offer comprehensive pain management treatments for arthritis, back and neck pain, compression fractures of the spine, shingles, complex regional pain syndrome (CRPS)/reflex sympathetic dystrophy (RSD), and regenerative medicine.