Medical Information Release Form
If you need a copy of your health information (medical record) for any reason, you must make your request in writing on a HIPAA compliant authorization form (
) and forward to the:
Health Info Management (Medical Records)
St. Anthony's Medical Center
10010 Kennerly Road
St. Louis, Missouri 63128
Or, you can print out and fax the form to Health Information Management at 314-525-1972.
For additional information, please contact us at 314-525-1238.
For information or a physician referral, please call 800-554-9550 or visit our online physician referral.
At St. Anthony's, our vision is to be the area's premier health care organization — and your first choice for health care services.


