The Children’s Mercy Health Information Management (HIM) department maintains medical records for our patients.
Join the MyChildrensMercy Patient Portal to stay connected with your child’s health care team and access personal medical information anytime online.
How to request medical records
Parents and legal guardians may request the release of their child’s medical information by filling out an authorization form (scroll down for links to these forms). The authorization must be signed by the patient's legal guardian or the patient, if the patient is 18 years or older. Authorizations must be dated within one year of receipt and are good for up to one year until completed. Once a valid authorization is received, we will respond to your request within 30 days.
To request medical records or pick up/drop off a medical record authorization in person, visit the following department:
- Health Information Management
2401 Gillham Road
Kansas City, MO 64108
Physical and Vaccination Records for School Enrollment
Request a copy of your child’s physical and/or vaccination records in early summer. This will help avoid the late-summer jam in the physician’s office and ensure important readiness is addressed well in advance. If you have patient portal access, you may retrieve your child’s vaccination records there. If not, you may request this information by filling out an authorization form or contacting HIM by phone.
There is no charge for receiving pertinent information. Pertinent documentation includes most recent documentation pertaining to doctors' diagnoses, progress notes, test results, history and physical, consults, discharge summary and treatment.
Payment for complete medical record
There is a charge for receiving a complete medical record. All charges are listed on our Fees for Medical Records page.
Children's Mercy Adele Hall Campus
Fax: (816) 701-4034
8 a.m. - 4:30 p.m.
Steps to request medical records
- Fill out the Authorization for Release of Information. You can get a copy of the form by:
Picking one up in person or using the links below.
If you want Children's Mercy to send medical records to another organization, use the following forms:
If you want another organization to send medical records to Children's Mercy, use the following forms:
Calling (816) 234-3455 to have a form sent by email, fax, or mail.
If you are a patient over the age of 18: You will need to include a copy of a signed form of identification (like a driver's license or school ID) with the authorization.
If you are a parent of a patient over the age of 18: You will need to include a copy of legal documentation stating that you are the court appointed guardian of the patient.
Return the forms. You may:
Fax them to (816) 701-4034 or
Mail them to Children's Mercy Health Information Management - 2401 Gillham Road, Kansas City, MO 64108.
Your request will be processed within 30 days.
For fees and payment information, see our Fees for Medical Records page.