If you received care from a physician’s office located in Missouri, please use the appropriate form:
- Request for information by an individual patient (online form)
- Request for information by an individual patient (printable PDF)
- Third-Party Authorization for release of information (printable PDF)
For access to a deceased patient’s medical records
Authorized Relative Certification: Submit a copy of the medical records request form and a copy of the death certificate with this form.
Please complete the form in its entirety, and sign and date.
Mail or fax the form to:
Health Information Release Services
660 S. Euclid Ave., MSC 1219-35-3
St. Louis, MO 63110
Our walk-in services are for patients and their personal representatives only. Third parties requesting medical records can fax or mail authorizations for processing.
Washington University Medical Records
Center for Advanced Medicine – 3rd floor
4921 Parkview Place
St. Louis, MO 63110
Hours for walk-in requests:
Monday through Friday, 8:30 a.m. to 11:30 a.m., and 12:30 p.m. to 4:00 p.m.
We are closed all University holidays and weekends. On days of inclement weather, please call 314-273-0453 to verify that walk-in services are open.
Euclid Garage: The Euclid Garage is connected to the 3rd floor of the Center for Advanced Medicine by an enclosed pedestrian walkway. Handicap parking is located on all levels and a convenient drop-off area is located on the third level.
Laclede Garage: The Laclede Garage is connected to the Center for Outpatient Health and the Center for Advanced Medicine by an enclosed pedestrian walkway. You may enter the garage from Laclede Avenue or Forest Park Avenue. Handicap parking is available on every level near the elevators.
Parkview Garage: The Parkview Garage is located below the Parkview Tower building and is connected to the Center for Advanced Medicine by an enclosed pedestrian walkway. Handicap parking is available.