Requesting Copies of Medical Records

The Children’s Mercy Health Information Management 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.

• MyChildrensMercy Patient Portal Information Document (pdf) (en Español)

• Authorization for Patient Portal Age 0-17 (pdf) (en Español)

• Authorization for Patient Portal Age 18+ (pdf) (en Español)

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. 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.

Pertinent Information

There is no charge for receiving pertinent information. Pertinent documentation includes all documentation pertaining to doctors' diagnoses, test results and treatment for the last two years.

Payment for Complete Medical Record

There is a charge for receiving a complete medical record. All charges are listed in the table below.

HIPPA Authorization Third Party Request
 

All Requestors

Payment

The Health Information Department will mail you an invoice before mailing the medical record request. You may pay by cash, check, money order or credit card to the Children's Mercy cashier located at each CMH location.

If copies are to be mailed to a doctor, hospital, or school, there is no charge.

Forms

Patients, parents or legal guardians may request copies of medical records by using one of the release forms listed below.

If you want Children's Mercy to send medical records to another organization, use the following forms: 

• Authorization for release of medical information by Children's Mercy (pdf)

• Authorization for release of medical information by Children's Mercy - Spanish (pdf)

• Authorization for release of behavioral health information (pdf)

• Authorization for release of behavioral health information - Spanish (pdf)
  
  

If you want another organization to send medical records to Children's Mercy, use the following forms:

• Authorization for release of medical information by an outside facility (pdf)

• Autorización para la liberación de información médica -Spanish (pdf)