Transfer Request

ADD/ADHD Records Transfer Request

Transfer to our offices: – Download

This form is to release your past medical records TO our Office . Please print this form and fill out all areas completely. It is REQUIRED that your current/previous doctor’s office has your SIGNATURE at the bottom of this form in order to process this request. Upon completion, please send this form to your current/previous doctors office and they will send your records to our office. Thank You!

Transfer to another doctor: – Download

This form is to release your medical records TO another DOCTOR, (or to yourself) . Please print this form and fill out all areas completely. It is REQUIRED that our office have your SIGNATURE at the bottom of this form in order to process this request. Upon completion, please send this form to our office via fax at (972) 212-4270 . Your request will be handled within 15 business days.

The following administrative fees apply for this service. The 2010 medical records copying fees are effective Jan. 1, 2010. In addition to the amounts listed, charges will apply for the actual cost of postage, shipping, and delivery of records.

Service

Retrieval Fee
Pages 1-20
Pages 21-60+

Charge to Patient

$0
$25.00
$.50/page

If you have any questions, please fee free to call our office at (972) 943-0410 .

ADD/ADHD Diagnostic & Treatment Center, PA
PO Box 261283
Plano, TX 75026

Our Location

Find us on the map

Hours of Operation

Our Regular Schedule

Monday:

8:45 am-5:45 pm

Tuesday:

8:45 am-5:45 pm

Wednesday:

8:45 am-5:45 pm

Thursday:

8:45 am-5:45 pm

Friday:

8:45 am-5:45 pm

Saturday:

Closed

Sunday:

Closed

Testimonials

What Our Clients Say About Us

  • "Dr. C is awesome! He is not pushy with a treatment plan and really gives you all your options. He is supportive of a conservative or an aggressive treatment plan, whichever the parent favors. I brought my 5-year-old in when she started having trouble in school, and we had exhausted all of our options. He was very kind and caring and really took the time to listen and educate our family about ADHD."
    Larryssa L.
  • "We LOVE Dr. John. He has changed the complete dynamic of our entire house. There is no more yelling, there are no more tears. Those have been replaced with big smiles and an awesome report card. Leaving our family practitioner and taking our son to Dr. John has literally been one of best decisions!"
    Tonya W.
  • "Best decision ever to seek out help for my inability to concentrate! Dr. Chuang is great at understanding the issues. Am now able to be more productive at work and complete tasks without getting so distracted."
    Martha D.