Welcome to the Health Information Management (formerly Medical Records) department
at Children's Mercy Hospitals and Clinics.
Limiting Access to Health Information
Patients, parents, or legal guardians may request to limit the access, use, or disclosure of a patient's protected health information for treatment, payment, or health care operations by completing the form listed below:
Request for Restrictions to the Use and Disclosure of Protected Health Information (pdf)
Requesting Changes to Health Information
Patients, parents, or legal guardians may request an amendment (change or correction) to a patient's health information by completing the form below. Once the form is complete and sent to the Health Information Manager, authors of the content will be notified. Authors may select to accept or deny the requested changes. Patients, parents, or legal guardians will be notified by mail once a decision has been made.
Request for Amendment of Health Information (pdf)
Authorizing Verbal Exchange of Information
Patients, parents, or a legal guardian must provide authorization before Children's Mercy can exchange information (by phone or in person) with another facility or individual. The authorization is good for one year,
unless it is revoked. The Authorization to Exchange Medical
Information is for verbal exchange only, all requests for copies of
electronic and paper medical record must be requested through the
appropriate standard authorization.
Authorization to Exchange Medical Information (pdf)