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Patients/Accessing Your Medical Records

Accessing Your Medical Records

At St. Mary’s Medical Center, we understand that information about you and your health is personal, and we are committed to protecting it. 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, 7 a.m.-4:30 p.m., at 816-655-5418, option 1.

Medical Records Contact Information

Release of Information: 816-655-5418, option 1.

Fax Number: 816-655-5420

Mailing Address: St. Mary’s Medical Center

201 NW R.D. Mize Road

Medical Records Department

Attn: Release of Information

Blue Springs, MO 64014

Forms

Authorization for Release of Protected Health Information Form

Autorización Para La Divulgación De Información De Salud Protegida

Electronic Record Delivery Request Form

Please complete both authorization forms (above) 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 completely and legibly. Failure to do so may result in your request being denied.

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Once we receive your authorization forms, we will date and time stamp your request. If your authorization forms are complete, your request will usually be processed within three business days. Authorizations without verifiable signatures or missing information will be returned to the requestor.
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You may choose to receive your records by several different methods:

You may request to personally 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.
You may request for your records to be mailed to your home after providing proper authorization is obtained
You may request for your records to be faxed directly to a health care 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.

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Physician Highlight

David R. Blick, MD, FACC

CARDIOLOGY

Accessing Your Medical Records

Forms

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Search by Name:

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Physician Highlight

David R. Blick, MD, FACC

Physician Highlight

Jason S. Day, MD

Physician Highlight

Daniel H. Dunker, MD, FACC

Physician Highlight

Daniel R. Hanon, DPM

Physician Highlight

T. Mark Hartley, MD

Physician Highlight

John M. Holkins, MD, FACC

Physician Highlight

Vincent G. Johnson, DO

Physician Highlight

Richard Kuckelman, MD

Physician Highlight

Parveen Kumar, MD

Physician Highlight

Anthony Migliazzo, MD

Physician Highlight

Vincent Narciso, MD

Physician Highlight

Linda J. McCormick, DO

Physician Highlight

Mohsin Q. Soliman, MD

Physician Highlight

James L. Southwell, DO

Physician Highlight

Luke A. Wilson, MD

Physician Highlight

William T. Wilson, MD

Voice of the Patient

Daniel H. Dunker, MD,
FACC

John M. Holkins, MD,
FACC