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Get Baylor Dallas Medical Records

03-5661 Patient Name: Patient Date of Birth: Patient Address: Street City State Zip Patient Phone Number: Patient Social Security #: Today s Date: DATE OF SERVICE requested Information to be released (please select): Discharge Summary X-Ray & Imaging Report only Medication List History & Physical X-Ray & Imaging - CD/Film only Admission Forms / Facesheet Consultation Reports Lab / Pathology Resul.

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