Obtaining a copy of your medical records is easy. To start your request, simply download the form by using the link below. Print, complete, sign the form and then FAX or mail your request to our office.
Our FAX number is 972-599-1331.
Our mailing address is:
North Dallas Pediatric Associates
4112 W. 15th Street
Plano, TX 75093
Your request will be processed within 10 working days. There is no charge for the first copy of your medical records. We recommend that you make a copy for your personal files. There is a fee of $25.00 for additional copies.