Missouri Baptist Sullivan Hospital

Medical Records

Missouri Baptist Sullivan 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.  

Contacting Medical Records Department

If you need a copy of your medical records, the Health Information Management (HIM) Department is available to assist.

Office Hour

  • Window Assistance: Monday–Friday, 9:30 a.m.–1:30 p.m.
  • Phone Calls: Monday–Friday, 8:00 a.m.–4:30 p.m.

Contact Information

  • Phone: 573-468-1358
  • Fax: 573-468-2687
  • Mailing Address:
    Missouri Baptist Sullivan Hospital
    Health Information Management
    751 Sappington Bridge Road
    Sullivan, MO 63080
     

Fees: A processing fee may apply depending on the request.

Requesting Medical Records


How to Request Records

  • Call or Download Forms:

     

    • Call the HIM department or download an Authorization for Release of Information form.

       

  • Submit Completed Forms:
    • Mail or fax completed forms to the address above.
  • Fees:
    • Copying records costs 52 cents per page.
    • Copies sent directly to a physician are free of charge.
  • General Inquiries: 314-653-5116 or 314-653-5113
  • Fax for Authorization Forms: 314-653-5110

Requesting Specific Records

  • Request for Access to Protected Health Information: Complete this form to have a copy of your medical records sent to you or another party. (Parents/guardians should use this form for their dependents.)
  • Authorization for Release of Information: Use this form to allow third parties to request a copy of an individual’s medical records. Note: The individual must sign this authorization.

Timeframe for Requests

  • Allow a minimum of two days for records stored on-site.
  • May require two to four weeks. Call ahead to confirm the timeline.

Birth Certificates


Missouri Baptist Sullivan Hospital does not issue birth certificates. Please contact the following: