Request for Information
The Advent Medical Group Medical Records Correspondence Department is responsible for the release of personal health information. This department provides this service in three ways: obtaining patient records from outside facilities, releasing patient information to a third party, or releasing patient information directly to the patient. Below are printable forms that must be completed and mailed to the Medical Records Department to comply with HIPAA regulations. Please send your completed forms along with a request in writing to:
Advent Medical Group
Attention Medical Records,
255 Spencer Road, Suite 201
St. Peters, MO 63376
Please complete one of the following forms:
Requests for copies of patient records are completed by a HIPAA-compliant outside vendor, HealthPort. If you need to check the status of a request for medical record copies, you may call 1-800-367-1500.
Additional Departmental Services:
This department also handles the completion of forms and requested letters. All information released from this office requires a request in writing and a signed authorization from our patient prior to information being released. If you do not have this on file, please complete the appropriate form above.
Private health information cannot be faxed.
Our office would be happy to assist you in the completion of any questionnaires or forms. A charge for the physician/staff time will be applied for the completion of all forms.
We ask for your patience as forms/questionnaires’ completion as well as medical records’ release can take up to 30 days. Letters and correspondence can take up to two weeks. All information released must be approved by your health care provider.
Please review our HIPAA Policy.
Please feel free to contact us with any questions or to inquire about the status of a request that has been made.