Check In to the ERCheck In to the ERLog In to the Patient PortalContact Us

Patients

Before Your Visit

Pre-Registration Form

Our hospital offers online Pre-Registration for your upcoming, scheduled visit. Please submit your information at least two business days before your arrival. If you’re experiencing a life threatening emergency, go directly to the ER or dial 9-1-1. This form is NOT intended for Emergency Room use.

Pre-Registration Secure Form

Health Plans

Glenwood Regional Medical Center is currently participating in benefit plans offered by the companies listed below. However, some affiliate companies may not be listed and some benefit plans offered may be excluded. To confirm we participate in your specific benefit plan network, please call us at: 318-329-4200.

  • Aetna Better Health (Medicaid)
  • Aetna Healthcare
  • Amerigroup (Medicaid)
  • AmeriHealth (Medicaid)
  • Bluecross Blueshield
  • Cigna
  • Coventry Healthcare
  • Galaxy Health Network
  • Gilsbar 360 Alliance
  • Humana
  • LifeSynch
  • Mental Health Network (MH Net)
  • PPO Plus
  • Three Rivers Network
  • United Behavioral Health
  • United Healthcare
  • Vantage Health Plan
  • Verity Healthnet

Medical Records

Glenwood Regional Medical Center maintains medical records for each patient treated at the hospital. To request your medical records, please visit our Health Information Management department between the hours of 8 am – 4:30 pm, Mon – Fri, or call 318-329-4325.

Prior to receiving copies of records or authorizing records to be disclosed, you will be asked to complete the appropriate form and provide proof of your identification with a valid, government issued photo ID. The appropriate form, along with a copy of your proof of identification, may be faxed to 318-329-4435. Requests for medical records generally take up to 72 hours to process.

The following form should be used for requests to inspect or obtain a copy of one’s own records or those of a patient for whom you are the legal representative.

Request a Copy of PHI (English)

Request a Copy of PHI (Español)

The following form should be used for requests to disclose medical records to a third party.

Authorization to Release Records (English)

Authorization to Release Records (Español)

NOTE: Records needed for continuing care purposes do not require the completion of any of the above referenced forms, but rather will be sent directly to your provider.

Default Patients & Visitors

Information for Patients and Vistors

Provider Search

eNewsletter Signup

Log In to the Patient PortalLog in to the
Patient Portal
Find A ProviderFind a
Provider
Register For EventsRegister for
Events
Download Our Mobile AppDownload our
Mobile App

LinkedInYouTubeYelpPinterestiPhone AppAndroid App

503 McMillan Road – West Monroe, LA 71291
(318) 329-4200

Privacy Policies | Notice of Non-Discrimination