If you would like to request copies of your own medical records, please complete our Request for Access to Protected Health Information by Individual Patients form.
Download the Request for Access form.
For all other medical record requests, use our Authorization For Release Of Information form.
Download the Release of Information Authorization form.
Once you complete the form(s), you may fax it to 314-996-4410, or you may return to:
Missouri Baptist Medical Center
Attn: Health Information Management
3015 N. Ballas Rd.
St. Louis, MO 63131
These documents are in PDF format and require Adobe Acrobat Reader. If you don’t have this software, go to Adobe for a free download.
If you have any questions, call 314-996-5155 or 314-996- 5383 between 8 a.m. and 4:30 p.m. Monday through Friday. Please note that a fee may apply.