NOTE: The links will open in a new window. You will see a tab on the right side of the screen to “Open PDF.” Once it is opened, in the right column, you will see a menu. Click “Fill & Sign.” Place the cursor on the first line and it will allow you to start typing your information. Continue the same throughout the document. When finished, save the document to you computer. Proceed to print the document, and either fax or send to address indicated below.
To request information from Compass Health Network:
⦁ Determine what type of records you need to request. (Behavioral Health, Dental, Primary Care)
⦁ Complete all fields on the authorization form(s) when requesting the release of your records.
⦁ After the form(s) is signed and dated; deliver, fax or mail the information to an office listed below.
To request information from other facilities:
To give Compass Health Network access to outside medical records, you will need to authorize release from your current/previous medical provider(s). Please complete the form and deliver, fax or mail to an address indicated below.
If there is information in Compass Health Network’s medical record about you that you believe is inaccurate or incomplete, you have the right to request the information be changed. Please complete the form and send it to the fax or address indicated below.
For questions regarding the above forms, please contact your local Health Information Management Office (Medical Records):
Compass Health Network – HIM Clinton
1800 Community Drive
Clinton, Mo. 64735
Compass Health Network – HIM Wentzville
1032 Crosswinds Court
Wentzville, Mo. 63385
HIM ROYAL OAKS HOSPITAL – Attn: HIM
307 N. Main
Windsor, Mo. 65360
Compass FHC – HIM Department
1001 W Worley
Columbia, MO 65203