New Patient Forms

New Patient Registration Forms and New Patient Medical History Forms are now available online.

Please call our office at (318) 221-2225 to receive an email that links to our online new patient registration forms.

Medical Record Release Form
Consent for Release of Medical Information

Attention Deficit Disorder Evaluation Forms

Vanderbilt ADHD Diagnostic Teacher Rating Scale
Vanderbilt ADHD Diagnostic Parent Rating Scale
Initial ADHD Evaluation Form
Teacher Follow-Up ADHD Rating Scale
Parent Follow-Up ADHD Rating Scale

Contact Us

2225 Line Ave,
Shreveport, LA 71104

Phone: (318) 221-2225
Fax: (318) 459-2955

Office Hours

Monday - Friday: 8:00 am - 5:00 pm
Saturday: 8:00 am - 11:00 am
Sunday: Closed

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