Medical Records Release Form

For your convenience, you may e-mail completed and signed records release forms to our medical records department: medicalrecords@forestparkpeds.com. The records release form must be filled out completely and signed by parent/legal guardian or patient over the age of 18 years. Our medical records department will NOT accept requests unless the form is completed and signed. Accepted requests will ONLY be mailed; NOT faxed or e-mailed. The release form is located to the left under the link "forms". The medical records department will ONLY accept release forms through this e-mail. For all other forms and inquiries, please call our medical records department at (314)535-7855, option 7, then option 2.