Request Your Medical Records

Print a request form here: Release of Information Authorization form.

This form is used for requesting a copy of your health information for your own use or for transferring of records. Instructions to complete the form will print with the release form or give us a call. Thorough completion of the form will expedite the record request process.

Completed forms may be sent via mail or fax to the contact information below. If you desire to send a form to us via email, please contact us for further instructions.

Once we receive the request form, staff will review the request and start the process to complete. Our general turnaround time is less than 5 business days, but some requests for records may take up to 30 days to process, in accordance with state allowances. A fee may be applicable in accordance with state and/or federal regulations.


Contact Us

Phone: (573) 248-5401
Please call us to make arrangements
(573) 248-5419
US Mail:
Attn: Medical Records Dept.
6000 Hospital Dr
Hannibal, MO 63401

Transferring to Another Provider

Records can be faxed or mailed to the provider of your choice. Please let us know your appointment date so we can arrange for records to be delivered timely.

Need Records for Personal Use?

We offer several options to deliver your medical records, including:

  • Fax (to doctor's offices only)
  • Mail 
  • On-campus pickup

We will notify you when records have been sent or are ready for pickup.

Patient Portal

Access our Patient Portal. If you are not already a member of our Patient Portal program, sign up.

Sign Up for Patient Portal