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Medical Records

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Requesting Medical Records

For a  immunization request please email the following information:

  • Patient Name

  • Patient Date of Birth

  • Call Back Number

  • Reason of the request

  • Where you would like us to send the information.

For a medical records request please go to our forms page and fill out the Authorization to release PHI (Protected Health Information) form. This form can be emailed to or faxed to us at (314) 576-4838. 

When you send an email transmission, the email is not necessarily secure and is not encrypted. Email transmissions are not necessarily protected from unauthorized access. Sending email is at your own risk. We cannot accept responsibility for your transmission of confidential information or any obligation with respect to that information not submitted over a secure server.

Medical records may take up to 4 weeks to process.

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