Step 1
Download and complete our Authorization Form.
Step 2
Then complete the authorized request through the following options:
- Call or visit our Health Information Department at 618-526-5405. We are open from 8 a.m. to 4:30 p.m., Monday through Friday. A photo identification will be requested to release copies of medical records.
- Fax a request or authorization form to 618-526-4537.