​​Catahoula Parish

 Hospital District #2  

Harrisonburg Family Health 



Sicily Island Medical Center
307 Chisum St.
Sicily Island, La 71368
(318) 389-5272​​​

Providing your medical history allows us to serve you better. Please answer each item as carefully and accurately as possible to ensure a medical meaningful document

Medical Release Records to Self


 Patient Forms

In order to make your records available to other doctors, we ask that you complete the Medical Release Form below. You may fax it to our office or drop it by in person. Please allow up to 3 business days for your request to be processed.

​Thank you for choosing CPHD2 for your healthcare. We strive to make your experience with us as convenient and efficient as possible. The downloadable forms below can be printed and faxed to us or brought with you to your visit. If you have any questions, please give us a call.

New patient? Please complete the form below and bring it with you to your first appointment. We look forward to serving you!

Sicily Island Medical Center

Medical Center Family Dentistry

Copyright ©  2106 Catahoula Parish Hospital District #2


Fax Numbers:


Patient Information​


Ferriday Family Health Center

Medical Release Records from CPHD2

Medical Center Family Dentistry
710 Chisum St.
Sicily Island, La 71368
(318) 389-9941

Ferriday Family Health Center
100 Serio Blvd.
Ferriday, La 71334
(318) 757-6969

CPHD2 is dedicated to protecting your privacy, including the protected health information about you that we generate and maintain.

Wisner Medical Clinic
126 Watson St.
Wisner, La 71378
(318) 724-7008

If you need your medical records released to yourself please download the form below and fax it to us so that we may process your request.

Patient Privacy Practices

Jonesville Medical Clinic

Wisner Medical Clinic

Jonesville Medical Clinic
900 Foster St.
Jonesville, La 71343
(318) 339-7265

Medical History