Medical Records Transfer
How to transfer your medical records from Dr. Mootha's old practice:
It would be our privelege to have you continue your medical care with us. In order to provide you continued care, we will require your medical records from Dr. Mootha's old practice. Please download this form and fax or mail it to his old practice (all instructions are on the form). We ask that you do this as soon as possible so that your records will be here for your next visit. We appreciate your understanding.
Medical Records Transfer Form (PDF Format)
Medical Records Transfer Form (MS Word Format)
If you have any questions regarding transferring your records, please contact us at 972-235-3248.
These forms require Adobe Acrobat Reader.
Click the Adobe logo to download.
2821 E. George Bush Hwy, Suite 305
Richardson, Texas 75082
Tel 972-235-3248
Fax 972-235-3984
