Request Your Medical Records Online
Complete all required fields of this form:
Request your records online
You must also upload a copy of your government-issued photo ID. You will receive a copy of your records within five to ten business days of request receipt.
Request Your Medical Records by Email, Mail or Fax
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 email, mail or fax to the contact information under Contact Us.
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.
Request Your Medical Records by Phone
To help us have your records ready when you arrive, patients and family members are asked to call the Health Information Management (HIM) Department in advance at (573) 248-5401. We will contact you when your records are ready for pickup at our office located at 3652 Stardust Dr., Hannibal, MO.
Transferring to Another Provider
Please call us to have your records 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.
Patient Portal - MyChart
With MyChart, managing your healthcare has never been easier:
- View test results
- Schedule or request appointments
- Send messages to your care team
- Refill prescriptions
- Access your medical history — anytime, anywhere