Health Information Management

The University of Kansas Health St. Francis Campus offers patients and patient representatives/legal guardians the ability to request electronic medical records easily online through the MyChart patient portal or our online request platform.

Request Records in MyChart

View your patient medical record securely from your computer or mobile device through MyChart. Once logged in to MyChart, go to Menu > Document Center > Requested Records > Click to send a request for records and complete the form. Click below to sign in.

Request Records in MyChart
(patient or legal guardian with MyChart accounts)

Request Records Online

Receive a copy of your medical record request using our online request platform. To verify your identity, you will need to submit a photo of your driver’s license. Click below to begin the request. A copy of your record will be sent to the email address provided.

Request Records Online
(patient or representative requests only)

Request Records on Paper

To request your medical request on paper, click below to download the form.
Once complete, fax the form to 785-379-2457 or email to medicalrecordsahs@cioxhealth.com

Request Records on Paper
(patient and all other requestors)

A HIPAA-compliant request for records must contain the following information:

  • A description of the information that will be used/disclosed. It is important to indicate what records are needed as well as a date range. This will expedite the request.
  • The purpose for which the information will be disclosed.
  • The name of the person or entity to whom the information will be disclosed.
  • A signature and date that the authorization is signed by an individual or an individual’s representative. If a representative is signing the form, the relationship with the patient must be detailed along with a description of the representative’s authority to act on behalf of the patient.

Continuation of Care Requests
To request medical records be sent to another medical facility, please fill out the request records on paper form and email to: 64493_UKH_ST_FRANCIS_CAMPUS@cioxhealth.com  or Fax to: 470-589-2667.

 

If you have additional questions, contact Health Information Management at 785-295-8000.

Request Records for Tallgrass Ambulatory Surgery Center

To request your medical records for Tallgrass Ambulatory Surgery Center, click below to download the form. Print and mail to Tallgrass Ambulatory Surgery Center, Attn: Health Information Management, 6001 SW 6th Ave., Suite 100, Topeka, KS 66615 or fax to 785-228-4733

Release Information Form
(patient or representative requests only)