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

Southeast Hospital

Mail or fax the Authorization Release Form to:

Health Information Management (HIM) – Release of Information
1701 Lacey Street
Cape Girardeau, MO  63701
Fax: (573) 651-5819

Typical processing time of medical record requests is seven to 10 business days, depending on the availability of the medical record. Copies of your medical records may be obtained sooner if needed by making the request in person. Present the completed authorization to the HIM department. Hours are Monday through Friday 8 a.m. – 5 p.m. If you have any questions, please call (573) 651-5534.

You may also view your SoutheastHEALTH medical records online at no cost through the patient portal, a secure, online portal that connects you to portions of your medical record from the privacy of your home at any time, day or night.

Southeast Health Center of Stoddard County

Please call (573) 624-5566 for information on how to obtain medical records.