Get Your Life Back!!
APPOINTMENT REQUEST *
James Hardy Gordon, M.D.
* Note: Requesting an appointment via this form will be considered a self-referral. In order to have an initial consultation, we will need the notes from your last three doctor’s visits, any radiology, MRI, or X-Ray that references the source of your pain, and a cover page with your name, contact information, and proof of insurance.
This information can be faxed to (318) 807-0205, dropped off at our Monroe location, or email to jhorne@lapaincare.com.
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