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.
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