Request Access to Patient Information

To request medical records for services provided by St. Luke's Hospital, please print and complete the downloadable authorization form.

Authorization For Use and Disclosure of Protected Health Information (PDF)

To request access to your mystlukes patient portal, please print and complete the downloadable St. Luke's patient portal enrollment form.

St. Luke's Patient Portal Enrollment Form (PDF)

In order to gain access to a family member's mystlukes portal account, complete the downloadable proxy Authorization form.

Proxy Authorization Form (PDF)

Please mail or fax the completed form(s) to:

St. Luke's Hospital
Health Information Services—Correspondence
101 St. Luke's Center Drive
Chesterfield, MO 63017

Fax: 314-205-6106

If you have any questions, please call 314-542-4729 between 8:30 a.m. - 4:30 p.m. Monday through Friday.