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 to your mystlukes patient portal, please print and complete the downloadable St. Luke's patient portal enrollment form.

St. Luke's Patient Portal Enrollment Form (PDF) PDF

In order to gain access to a family member's mystlukes portal account, complete the downloadable proxy Authorization form.

Proxy Authorization 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.