Patient information

let us help answer your questions

How to Become a Patient

  • You will need a signed referral from a physician, NP, PA, podiatrist, or chiropractor for therapy.
  • A referral can be brought in to the clinic, faxed to (318) 442-0562, or scanned and emailed to us at therapyinfo@midstateortho.com.
  • If you need one of our referral forms, click on the link in Form Downloads box and this can be signed by your provider.
  • Our office can accept therapy referral even if they are not on our letterhead.
  • Once our office receives a copy of your referral, we can schedule your first therapy appointment.


Mid State Therapy Services has locations in Alexandria and Pineville providing both physical and occupational therapy services. Call, email, or come in today and schedule an appointment and let our experienced team take care of all of your rehabilitation needs.


429 Rocky Bayou Drive
Pineville, LA 71360

Phone: (318) 545-4120
Fax: (318) 442-0562
Email: therapyinfo@midstateortho.com

View Pineville


224 Pecan Park Avenue, Ste B
Alexandria, LA 71303

Phone: (318) 427-7851
Fax: (318) 442-0562
Email: therapyinfo@midstateortho.com

View Alexandria

Medical Records Requests

All patient information at Mid State Therapy is confidential. Due to this, medical records will not be released without the authorization of the patient or the patient's legally authorized representative. If you would like to request for your medical records to be sent TO your physician or your medical records to be sent FROM your physician to our office, please download the appropriate form and complete it.

Please note a reasonable fee is associated with the preparation and fulfillment of medical records request for Self/Patient. Requests made to be sent to a physician will not have a fee.

For questions regarding your medical records request, please (318) 545-4120, Monday – Thursday between the hours of 8:00 a.m. – 4:30 p.m. and Friday between 8:00 a.m. – 12:00 p.m.

***Faxing the form to us at (318) 442-0562 or scanning and emailing it therapyinfo@midstateortho.com is the fastest and easiest way to expedite your request.

Medical Records Release Forms

Release to PhysicianRelease to Patient

Need Additional Information?

Please complete the form below and submit your request for additional information. Someone from our office will contact you to provide assistance.

Thank you!

Your request has been sent to our scheduling department.
Please allow 24-48 hours during normal business hours to receive a response.

Oops! Something went wrong while submitting the form.
Please allow 24-48 business hours to receive a response.