BJC Medical Group Medical Records Request

As a BJC HealthCare patient, you can request your medical records after an outpatient appointment at a BJC Medical Group clinic. If you only need to request billing records, see the section below for more information.

Patients

If you had an appointment with a BJC Medical Group provider in one of our clinics, you can request your records via mail or fax. BJC Medical Group will send your records within 30 days of receipt of your request. If there is a delay, we will notify you. 

To request records via fax or mail

1. Use the link below to download the request form.
   1. Request for Access to Protected Health Information by Individual Patient
2. Complete all fields, including your signature and date, and send it to the location or provider that has your records. Please include your mailing address in case email or fax fails and make your request out to your specific clinic or provider.
3. For faster processing, fax the request to your physician’s office. You can also fax the request to 314-996-7008. 

Third-party requests 

To request that a copy of someone’s records be sent to another individual or organization, follow the process below. The individual whose records are being requested must sign the request for access authorization. If the patient is a minor or is disabled, a parent or guardian must provide a written consent to make the request.

1. Use the link below to download this request form. 
   1. HIPAA Authorization for Release of Information
2. Complete all fields, including your signature and date, and send it to the location or provider that has your records. Please include your mailing address in case email or fax fails and make your request out to your specific clinic or provider.
3. For faster processing, fax the request to your physician’s office. You can also fax the request to 314-996-7008. 

Power-of-attorney or deceased patient requests 

If your loved one has passed away and you are the executor of their estate or legally authorized by a court to act on their behalf, you have access to their records.

1. Use the link below to download the request these forms. 
   1. Authorized Relative Certification
   2. HIPAA Authorization for Release of Information
2. Complete all fields, including your signature and date, and send it to the location or provider that has the records. Please include your mailing address in case email or fax fails and make your request out to the specific clinic or provider.
3. For faster processing, fax both forms along with a copy of a valid ID for signature verification, a copy of the death certificate, and a copy of the power-of-attorney form (if applicable) to your physician’s office. You can also fax these materials to 314-996-7008. 

Medical records changes or correction requests

If you believe there is an error in your medical record, you can request a change or amendment. The health care provider will review the request and respond with an approval or denial within 60 days unless they were granted an extension. 

1. Use the link below to download the request form.
   1. Request for Amendment Form
2. Fax the form to 314-996-7008 or mail it to the address below. 

• BJC Medical Group
  660 Mason Ridge Center Drive, Suite 300
  St. Louis, MO 63141
  Attention: Health Information Management
• If you are seeing a message in your MyChart account that you believe is an error, please reach out to MyChart at 314-273-1966.

Billing records

To request a copy of billing records only, follow the process below.

1. For patients requesting their own billing records, download the form below.
   1. Request for Access to Protected Health Information by Individual Patient 
2. For third-party billing record requests, download the form below.
   1. HIPAA Authorization for Release of Information
3. Complete all fields, including your signature and date. The authorization must be filled out to include the clinic or physician and the correct corresponding address, even if the request is to fax or email records.
4. Fax the form to 251-259-5588 or mail it to the address below. You can also email the request to [email protected]. 

• BJC HealthCare  
  PO Box 958410 
  St. Louis, MO 63195 
  Attention: Billing Department 

Imaging or inpatient hospital medical record requests

If you were a patient at one of our hospitals or need your radiology images, use the link below to request these medical records.

Alton Memorial Hospital

Barnes-Jewish Hospital

Barnes-Jewish St. Peters Hospital

Barnes-Jewish West County Hospital

Christian Hospital

Memorial Hospital Belleville

Memorial Hospital Shiloh

Missouri Baptist Medical Center

Missouri Baptist Sullivan Hospital

Northwest HealthCare

Parkland Health Center

Parkland Health Center–Bonne Terre

Progress West Hospital

St. Louis Children’s Hospital

All requests are processed by the Health Information Management department. If you have questions or need assistance, please contact us at 314-996-7626 . Please leave a voicemail and someone from our staff will return your call within 1–2 business days.