Locations Main Campus: Chesterfield, MO 63017   |   Locations
314-434-1500 314-434-1500   |   Contact Us

Request Access to Patient Information

To request medical records for services provided by St. Luke's Hospital, please print and complete the downloadable authorization form.

Authorization For Use and Disclosure of Protected Health Information (PDF) PDF

To request access/make changes to your mystlukes patient portal please complete and print the downloadable authorization form.

E-mail Access and Change Form (PDF) PDF

Please mail or fax the completed form(s) to:
St. Luke's Hospital
Health Information Services—Correspondence
111 S. Woods Mill Road
Chesterfield, MO 63017

Fax: 314-205-6106

If you have any questions, please call 314-542-4729 between 8:30 a.m. - 4:30 p.m. Monday through Friday.