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Referring Providers Online Access Request Form

Please complete all required information to request online access to your patients' medical records.
* Denotes required fields

Physician/Medical Practice Group Contact Information

Physician Contact Information

For User Verification

For Security Verification

* Are you a member of a group practice?
If you have specific providers you would like to have access to your patients' medical records, please provide the name of the provider and their NPI number below. (A signed Access and User Confidentiality Agreement for each provider must be completed.)
Would you like to add another Provider?
Please provide the name(s) of nurse(s) that you would like to have access to your patients' medical records. (A signed Access and User Confidentiality Agreement for each nurse must be completed before they are granted access to your patients medical records.)
Would you like to add another nurse?
Please provide the names of office staff that you would like to have access to your patients' medical records. (A signed Access and User Confidentiality Agreement for each staff member must be completed before they are granted access to your patients medical records.)
Would you like to add another staff member?

For Signature Verification

 
 

Find Providers and Locations

Find a Provider

Our database includes more than 700 providers trained in nearly 70 specialties and sub-specialties.

Locations

University of Missouri Health Care offers a variety of clinic specialties and locations throughout the Columbia area and central Missouri.

If you wish to contact a clinic in the Columbia area, you may search our listing by specialty  or by clinic location. You may also wish to search our database of physicians to find where they work.

Services

Our team of experts continuously applies studies and teaches the latest treatments. We offer an extensive array of services for our patients and their families.

Important Contacts

Refer a patient
888-884-MUDOC (888-884-6836)

Women’s and Children’s Critical Care Transport Service
855-MU4-KIDS (855-684-5437) and press 1 for transport

Office of Network Development
573-884-MUHC (573-884-6842)
Toll-free at 877-884-MUHC (877-884-6842)
RapidResponse@health.missouri.edu
NetworkDevelopment@health.missouri.edu

Medical Records
chartconnectsupport@health.missouri.edu
573-882-4312