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Chart Connect Access Request Form

* Denotes required fields
* Are you requesting or renewing access for physician or staff?

Requirements

  • Review, print and sign the Confidentiality Agreement upon completion of the Request Access/Renew Access form.
  • Review the HIPAA 101 Powerpoint module. Please print and sign the Completion Certificate.
  • Review the MU Health Care policies.

  • Email your signed Confidentiality Agreement and HIPAA 101 Completion Certificate to Chartconnectsupport@health.missouri.edu or Fax: 573-882-3209 Attention: ChartConnectSupport.
  • After receiving your Request for Access form, Confidentiality Agreement and HIPAA 101 Completion Certificate, MUHC Medical Records will email your Chart Connect login credentials to you within 48 hours.

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.

Chart Connect

Questions, comments or concerns

Network Relations Main Office:  573-884-MUHC (6842)  or 877-884-MUHC (toll free)
RapidResponse@health.missouri.edu

To help us improve our health system submit feedback through our Patient Safety Network.