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Get a copy of your medical records
Fill out a request form, send it in, and our records team does the rest.
Send your form in three ways
- Fax it to (936) 336-7837, or email it to ROI@libertydaytonrmc.com.
- Mail it to LDRMC Release of Information, 1353 N. Travis St., Liberty, TX 77575.
- Or bring it to the Outpatient Department on the Travis Street side, with a valid photo ID.
Know when to come
Questions about records
Do I need my photo ID?
Yes. A valid photo ID is required to release records.
Can someone else request records for me?
Yes, with a completed Authorization form. For a medical power of attorney, send a complete copy of it, a government photo ID and a completed Authorization form.
Can I send my records to my new provider?
Yes. Your new provider can call (936) 336-7316, ext. 143 or fax (936) 336-7837, and we will fax the records directly.
How do I check on my request?
Wait one or two days after you send it, then call (936) 336-7316, ext. 143 or email ROI@libertydaytonrmc.com.
Where do I get my child's immunization records?
Immunization records come from the Texas Department of State Health Services website.
Can I see my results online instead?
Yes. Your patient portal shows records online, though results can take up to 72 hours to appear.
Not sure which form you need? Let us help.


