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The U.S. Department of Health and Human Services' Office for Civil Rights has published a guide for patients that discusses when a provider may share a patient's health information with others involved in the patient's care.

Capital Region Medical Center recognizes the rights of our patients to release their health information.

To facilitate a request for copies of medical records to be released, we ask that you:

  • Print the "Authorization for Release of Protected Health Information" form.
  • Fill in all the required information on the form.
  • Sign and date the authorization (must be signed by the patient, unless the patient is a minor or the patient has a legal representative assigned).
  • Include your phone number on the authorization form in case we need to contact you.
  • Return the form by U.S. mail to Capital Region Medical Center:
    Medical Record Department
    P.O. Box 1128
    Jefferson City, MO 65102-1128
  • Payment of a fee may be required in some circumstances before the information can be released.