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Medical Records Request

The Health Information Management department is open 8 a.m. to 4:30 p.m. Monday through Friday and is located on the lower level near the west entrance to Lake Regional Hospital at 54 Hospital Drive, Osage Beach, MO. View a map of our facility.

When you need a copy of your medical records, Lake Regional's Health Information Management (HIM) department 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.

Charges

You may be charged a copying fee of $0.54 per printed page by HealthPort—the company contracted by Lake Regional to process requests. 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 at Lake Regional's HIM office by the patient requesting the records or the patient's legal representative. 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.

Requests for Electronic Access to Medical Records

Medical records are available electronically through HealthPort—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.

Contact Us

Lake Regional Health System
Attn: Health Information Management
54 Hospital Drive
Osage Beach, MO 65065
573.348.8729
573.348.8223 (fax)
recordsrequest@lakeregional.com

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