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 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, our Medical Records staff is available to speak with you Monday through Friday, 10 a.m. – 6 p.m., at 816-655-5418, option 1.

Medical Record Request Form

Medical Records Form

Please complete the authorization form to request a copy of your medical records via our Electronic Medical Record process. Please read through the form carefully and be certain to fill out all areas of the form. Incomplete forms may result in your request being denied.

Authorizations without verifiable signatures or missing information will be returned to the requestor.

Please submit your medical request form by email, fax, or mail.

Email: MOKAN-MB-SMROI@primehealthcare.com

Fax Number: 816-220-1807

Mailing Address:
St. Mary’s Medical Center
201 NW R.D. Mize Road
Medical Records Department
Attn: Release of Information
Blue Springs, MO 64014

Medical Record Request Form

Medical Record Request Form (Spanish)

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.