Requesting Your Medical Records

Medical Records & Release Of Information (ROI)

Medical records can be released to any patient and to other people who have been given authorization, in writing, by the patient. A valid authorization must be completed in its entirety or the request will be denied. If the authorization is signed by the patient’s legal representative, the authorization request must also include a copy of the guardianship papers or durable power of attorney.

Medical records of a deceased patient are protected by the HIPAA Privacy Rule for a period of 50 years. The Personal Representative of the Estate of a deceased patient may authorize the release of the patient’s medical records. The Personal Representative must be appointed by the Probate Court and must present documentation of that appointment before records can be released. Please include your phone number in case we need to contact you for additional information concerning your request.

Medical Record Fees

For medical records being released directly to a physician’s office or licensed healthcare facility for the purpose of continuity of patient care, there is no charge for records to be released. If records are to be released for personal use or to a third party (i.e., an attorney), standard fees apply as delineated by the Missouri Department of Health & Senior Services.

Where to Send Authorization Release Forms