St. Mary’s Medical Center is committed to protecting your personal health information. If you would like to access your personal medical records, please take a moment to print out the form(s) required. Helpful instructions are provided to assist you in obtaining your records and completing these forms. If you would like assistance with completing the form(s), our Medical Records staff is available to speak with you Monday through Friday, 8 a.m.-4:30 p.m., at 816-655-5418, option 1.
Fax Number: 816-220-1807
St. Mary’s Medical Center
201 NW R.D. Mize Road
Medical Records Department
Attn: Release of Information
Blue Springs, MO 64014
Authorization for Release of Protected Health Information Form
Autorización Para La Divulgación De Información De Salud Protegida
Please complete both authorization forms to request a copy of your medical records via our Electronic Medical Record process. We have included a sample of both forms along with printable instructions. Please read through both forms carefully and be certain to fill out all areas of the forms. Incomplete forms may result in your request being denied.
Your request will be processed within three business days. Authorizations without verifiable signatures or missing information will be returned to the requestor.
You may choose to receive your records by several different methods:
- Pick up your records from our Release of Information desk located on the in the Medical Records Department on the first floor of the medical center by the Bistro.
- Have your records mailed to your home
- Have your records faxed directly to a healthcare provider
- You may elect to use our Electronic Medical record service.
Please note, there may be a charge for the release of records containing more than 10 pages. For further information on fees, please contact our Medical Records department at 816-655-5418, option 1.