Become a Patient
We are so pleased that you are interested in becoming a patient here at The Therapy Center.
For our full patient packet (and recommended method of submitting) see below.
NEW PATIENT FORMS
WE REQUIRE ALL PATIENTS TO PRINT, COMPLETE, AND SUBMIT THE FOLLOWING 5 FORMS AND PRESENT A VALID DRIVERS LICENSE/PICTURE ID AND INSURANCE CARD, IF APPLICABLE, PRIOR TO BEGINNING THERAPY.
The most secure methods to submit complete patient forms are hand delivery, fax, and U.S. mail. Email is not recommended. You may fax your information to 225-208-6173 or by mail to 1160 Hospital Road, Suite 100 New Roads, LA 70760.
In addition to the above documents, please select AT LEAST ONE of the five forms that is most appropriate for the part of the body we will be treating.
Once your information is received and verified (1 business day), you
should receive a phone call to schedule an appointment. If you do not
receive a call within 24 hours, please call us at 225-638-4455. You
may need to present a referral from an MD upon arrival of your first