Medical Records

Northwest HealthCare provides easy access to your medical records for continuity of care or personal use. This page includes important information for requesting your records or authorizing their access by third parties. 

Request for Access to Protected Health Information

• Complete this form to have your medical records sent to yourself or someone else.
• Parents or guardians should use this form for their children.

Authorization for Release of Information Form

• Third parties requesting access must complete this form.
• The individual whose records are requested must sign the authorization.

Fax completed forms to 314-653-5110.

How to Submit Your Request

Mail to:

Health Information Management

ATTN: Release of Information

11133 Dunn Road

St. Louis, MO 63136

Fees: A processing fee may apply depending on the request.

Contact Information

For questions about medical records, call:

Phone

General Inquiries: 314-653-5116 or 314-653-5113
Fax for Authorization Forms: 314-653-5110

Medical Records Department

Hours of operation: Monday–Friday: 8 a.m.–4:30 p.m.

Additional Information

• Records are handled securely and in compliance with HIPAA regulations.
• Assistance is available for completing forms or addressing questions about your request.