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Sports and Physical Therapy Office and Diabetes Education office move

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Ronda     Seeley

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Medical information release

Consent form

If you need a copy of your health information (medical record) for any reason, you must make your request in writing on a HIPAA compliant authorization (consent) form - pdf and forward to:

Health Information Management (Medical Records)
St. Anthony's Medical Center
10010 Kennerly Road
St. Louis, Missouri 63128

Or, you can print out and fax the form to Health Information Management at 314-525-1972.

For additional information, please contact us at 314-525-1239.


St. Anthony's Medical Center logo

For information, please call our Health Access Line at 314-ANTHONY (268-4669) or 800-554-9550 or visit find a physician online.

Working as trusted partners, the physicians and employees of St. Anthony's Health System will deliver care distinguished by its demonstrated quality and personalized service. We will be visibly engaged in improving the health and well­ being of the communities we serve in South County and beyond. We will stand together, proud to set the standard for independent community health systems.