Patient Referrals

We are currently accepting new patients for medication managment services. We do not manage addictions at this time.  Patient referrals may be submitted by email or fax.

Referral Form

Providers may use their own referral form, email or fax the demographics information, or print and complete the attached document. If you are referring more than one patient, it may be easier to email a list to us. 

Download Form

Email Us

Referrals may be emailed.


Call Us

Please call us if you have any questions.

Call Now

Mailing Address

P.O. Box 1726

Walker, LA 70785


Ph: (225) 255-0899
Fx: (225) 341-4345
[email protected]