Medical Records

Christian Hospital 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 Medical Records

To request medical records, please print and fill out the applicable form below.

Request for Access to Protected Health Information: Please complete this form to have a copy of your medical records sent to you or to someone other than yourself. Note: Parents and guardians, please use this form for your patients.
 
Authorization for Release of Information: Third parties, please complete this form to request a copy of an individual’s medical records. Note: The individual whose records are being requested must sign this authorization.

Once completed, mail the forms to:

Christian Hospital 
Health Information Management 
ATTN: Release of Information 
11133 Dunn Road 
St. Louis, Missouri 63136 USA

Please note that a fee may apply.