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Thank you for your interest in obtaining your medical records. In order for St. Louis Children’s Hospital to release confidential medical record information to you please complete the Individual Access Form, including your signature. If you would like records sent to someone other then yourself please complete the Authorization for Release of Information Form, including your signature. Certain situations involving specific treatments may require your child’s signature for release of information. For more specific information call the Correspondence Center at 314.454.6060.
When the form is completed, please fax or mail it to the Correspondence Center. Our medical record request forms are Adobe Acrobat (PDF) documents. If you are interested in downloading this file, but do not have Adobe Acrobat, you can download the program now.
There is a fee of $.53 per page for photocopies if your record is in paper form or electronic. If we must go through microfilm, there is a processing charge of $1.50 per page. You will receive a bill for our efforts with the mailed copy or your record. Before we begin researching and copying your record, we are happy to provide you a cost estimate.
To minimize cost, we suggest requesting a copy of:
- Discharge summaries
- Operative Notes
- Diagnostic tests
- The “abstract” of the record which would give you the essential elements of the record without having all of the daily assessments
We can only provide you a copy of the information we have. We cannot interpret what the information means or discuss it with you. Please take the information to your personal physician to discuss the findings.
St. Louis Children's Hospital
Correspondence Center
One Children's Place
St. Louis, Missouri 63110 USA
Phone -- 314.454.6060, correspondence secretary
Fax -- 314.454.2032
