Medical Records Request
You may obtain a copy of your medical record in Patient Registration, which is open 8 a.m. to 4:30 p.m. Monday through Friday and is located in the hospital's main lobby.
When you need a copy of your medical records, Lake Regional's release of information specialist is available to help. You may request either printed or electronic copies of your medical records. Records may also be mailed to you or faxed to your physician.
NOTE: Records requests must be signed by the patient or the patient's legal representative and submitted in person, by mail or by fax. Records will not be released without signed authorization from the patient or the patient's legal representative. A valid photo ID is required to pick up records.
You may be charged a copying fee of $0.57 per printed page. These charges are based on Missouri Revised Statute 191.227.
Requests will be processed within five to seven business days from receipt and may be picked up in person by the patient requesting the records or the patient's legal representative. The person picking up the records should go to Patient Registration in the hospital's main lobby. Records may also be mailed to the patient or faxed to a physician. If a delay is expected, you will be contacted at the phone number(s) and/or email address you provide.
- Electronic: $25.34 plus either $0.58 per page or $111.03 total, whichever fee is less
- Electronic Paper: $24.85 plus either $.057 per page or $18.88 total, whichever fee is less, for the cost of labor and supplies
- Off-site Records: None
- Burn a CD (legal): $25 fee + postage
Requests for Electronic Access to Medical Records
Medical records are available electronically through Ciox—the company contracted by Lake Regional to process requests. To request online access to your records, print, fill out and sign the Electronic Record Delivery Request Form.
Upon receipt of your signed request, you will receive detailed instructions on how to access your electronic records via a secure web portal.
Requests for Printed Copies of Medical Records
To request printed copies of your medical records, fax or mail the correct Authorization for Use or Disclosure of Protected Health Information Form.
Printed Copy Request Forms
Missouri Health Connection
Lake Regional Health System is a member of the Missouri Health Connection (MHC) network. This nonprofit health information network enables doctors, hospitals and labs across the state to coordinate patient care through sharing health information. Learn more about MHC.