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Medical Records - St. John's Mercy Medical Center

Requests from Patients

To obtain a copy of your medical record from St. John’s Mercy Medical Center, please complete our Request for Access to Health Information Form and mail or fax the completed form to the address or fax number below. St. John's Mercy Medical Center may charge you a reasonable per page copy charge allowed under Missouri law and a postage charge (if applicable). A handling fee will not be charged for patients requesting a copy of their record.

Authorization for Use and Disclosure of Protected Health Information

If you would like St. John's Mercy Medical Center to release your medical record to a third-party, please complete our Authorization for Use and Disclosure of Protected Health Information and mail or fax the completed form to the address or fax number below. For medical record requests from sources other than patients (e.g., attorney’s, insurance companies), St. John's Mercy may charge $19.31 plus $0.46 per page for the cost of supplies and labor (effective 5/08).

Fees are set by the Missouri Department of Health and Human Services.

By United States Mail:

St. John’s Mercy Medical Center
Attn: Health Information Services
615 S. New Ballas Road
St. Louis, MO 63141

We accept payment in the form of check or credit card.

If you have questions or would like additional information regarding your medical record, please contact the St. John's Mercy Department of Health Information Services at 314-251-4622.

 

A member of the
Sisters of Mercy Health System