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HIPAA

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.

HIPAA documents

Related resources

Contact us

If you have any questions about this process, please contact our release of information specialists at 573.632.5650.

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