Download and complete our Authorization Form.
Then complete the authorized request through the following options:
- Call or visit our Health Information Department at 618-651-2611. We are open from 8 a.m. to 4:30 p.m., Monday through Friday. They are located on the 2nd Floor to the left at the end of the hallway. A photo identification will be requested to release copies of medical records.
Fax a request or authorization form to 618-651-2615.