Request your medical records from SSM Health St. Clare Hospital 

Request Medical Records 

To request a copy of your medical records from SSM Health, the Authorization for Release of Protected Patient Health Information form must be filled out and returned to the Health Information Management (HIM) Department. You can get this form in one of two ways:

  1. Call 636-496-2570 to have HIM send you a copy.
  2. Download and print the authorization form here.

Next, you need to fill out the form and send it to HIM. You can do this in one of two ways:

  1. Fax it to HIM at 636-496-4906.
  2. Mail it to HIM at
    SSM Health St. Clare Hospital
    Attn: Health Information Management
    1015 Bowles Ave.
    Fenton, MO 63026

After the authorization form is filled out and received by our office we will send a copy of your medical records via U.S. Mail. The medical records may also be picked up by making arrangements with HIM. Typically requests take up to 10 business days, but requests for larger or older medical records may take longer.

Another option with MyChart

You can sign up to view your medical records at any time from your computer or any smartphone. Ask your doctor’s office about signing up for MyChart today.

Frequently Asked Questions

Do I need to send any sort of documentation along with the form?

SSM Health takes patient privacy very seriously. Therefore, a copy of the patient’s ID or the patient's legal guardian's ID is required to request medical records . We need this identification to verify that you are authorized to request the patient’s records. This can be a state-issued ID, birth certificate, etc. If you have any questions about what type of ID is accepted, please contact HIM.

How long will it take for me to receive the records?

Typically requests take up to 10 business days, but requests for larger or older medical records may take longer.

You can speak with the St. Clare Hospital HIM department at 636-496-2570 if you have more questions about requesting your records or the approximate timeline.

How will I receive the records?

You can receive the medical records in one of two ways:

  1. By mail via the U.S. Postal Service from a company called Healthport
  2. By picking them up in person after making arrangements with HIM

Can I have the records sent along to someone else like my school, sports team or specialist?

Yes. In the second section of the authorization form, there is a place to indicate that you are authorizing SSM Health to disclose the medical records to a third party.

If so, what information do you need from the third party: address, phone, etc.?

In the case of disclosing your medical records to a third party, we would need the name, address, phone, and fax (if applicable) of the third party. We would also need the relationship of the third party to you(school, physician’s office, etc).

Does it cost money to request my child’s medical records?

For personal requests, the cost is $.54 per page. For requests being sent to a third party (i.e. continued care, insurance companies, or legal counsel), the fee will be paid for by that third party.

Please be sure the third party is properly listed in the second section of the authorization form.

What sort of payment do you take?

A bill will be sent to you once the records request is complete. If you are responsible for the payment, you may pay over the phone, by cashier's check, credit card or money order.

How can I be sure this is safe?

Providing correct information on the authorization form is the first step in protecting your confidential health care information. Be specific regarding the documents and dates that are to be released. Also, make sure any third party information listed on the authorization form is correct; we will only release your records to the parties listed on the form. We also use an encrypting method to ensure the security of your private health care information.

SSM Health takes patient privacy very seriously. Read our privacy policy here.

If you have any other questions about requesting medical records from SSM Health St. Clare Hospital, please contact Health Information Management at 636-496-2570.