Accessing Your Medical Records
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.
Medical Records Contact Information
Phone: 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
Electronic Record Delivery Request Form
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 sure 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.
- 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.