Lake Pointe Medical Partners - H. James Raj, M.D. - Family & Sports Medicine


		Pediatrics Family Medicine Obstetrics & Gynecology Internal Medicine Sports Medicine


	Click here for an aerial map of this location and exact driving directions.

	FORM FOR SPORTS PHYSICAL :: CLINIC INFORMATION

Lake Pointe Medical Partners - H. James Raj, M.D.

	:: LOCATION

Internal Medicine, Pediatrics,
Family & Sports Medicine
1101 W I-30, Suite 101
Royse City, TX 75189

Phone - (972) 636-9144
Fax - (972) 636-9146

Hours
Monday - Friday 8 a.m. - 5 p.m.
Closed for lunch noon - 1 p.m.

Location Information
This office is conveniently located on the east-bound service road off I-30 between the "Frontage Road" exit #74 and Hwy. 548 (exit #77A) in Royse City, Texas.

Map
Click here for an aerial map of this location and exact driving directions.

	:: BIOGRAPHY - DR. H. JAMES RAJ

H. James Raj , M.D. is Board Certified by the
American Board of Family Medicine

Dr. Raj also completed a Primary Care Sports Medicine Fellowship at Charlton-Methodist in Dallas, Texas

	Specialty

	Medical School

	Family & Sports Medicine

	University of Texas at Houston Medical School Houston, Texas

	Residency

	Fellowship

	Baylor-Garland Family Medicine Residency Garland, Texas

	Primary Care Sports Medicine Fellowship Charlton-Methodist Dallas, Texas

	Residence

	Team Physician Affiliations

	Dr. Raj lives in Dallas with his family.

	Team Medicine Physician Southern Methodist University, Assistant Team Physician Naaman Forest High School, Team Physician DeSoto High School, USA Boxing Volunteer Physician

	:: FORMS

Adult New Patient
For adults (age 18+) with a new patient appointment

Pediatric New Patient
For children (age less than 18) with a new patient appointment

Receipt and Notice of Privacy Practices
HIPAA requires all patients to complete this form.

Medical Release
Form authorizing healthcare provider to release your medical information to Lake Pointe Medical Partners

Financial Policy
Explains payment of services

Medical Information Release
Authorizes Lake Pointe Medical Partners to release your medical information to specific entities.

Frequently Asked Questions
HIPAA as it relates to our patients.

Request for Correction / Amendment to Record
Allows you to request a correction / amendment to your medical record.

Know Your Benefits
This pamphlet can assist you in learning about your insurance benefits, including questions to ask your provider.

	:: SERVICES OFFERED

	:: HOSPITAL AFFILIATION

Saint Francis Medical Partners - Bartlett - Services Offered

	• New Patients Always Welcome • Same-Day Sick Visits Available • Accept Most Insurance Plans and Medicare • Health Care for the Whole Family, Newborns and Older • Sports, School, Annual Physicals • Labs, Immunizations, Travel Medicine • Gynecological Exams, Family Planning • Diabetes Screening and Counseling

	6800 Scenic Drive Rowlett, TX 75088 [t] (972) 412-2273 www.lakepointemedical.com