Medical Records

If you’d like us to release your personal medical records, print the Information Request–Patient Authorization form and mail to:

Release of Information
901 E 104th Street, Mailstop 6N
Kansas City, MO 64131

Access for Family Members/Caregivers

Proxy access is when a family member or caregiver can view a patient’s protected health information (PHI). The access must be authorized by the patient and multiple parties may be given access.

Requests for adult-to-child (patient is age 0–11) or adult-to-teen (patient is age 12–17) access can be completed in a Saint Luke’s clinic, by calling 816-880-6036, or by completing the request form:

For adult-to-adult (patient is age 18+) access, they can fill out the authorization form for adult-to-adult in the mySaintLuke’s Patient Portal, or can complete the request form:

Completed forms should be sent to Saint Luke’s Health Information Management by email.


For general medical records questions, email

For proxy access for family members/caregivers, email