Medical Records Release

Medical records are the property and responsibility of our office, we make it of utmost importance to maintain your confidentiality and will only release your records with express written permission from you.

If you need a copy of your records for yourself or another party, you will be responsible for the cost of production and certified postage.  The charges for medical records are as follows:

    • Please refer to the following link provided by the Missouri Dept of Health and Senior Services – Section 191.227, RSMo which maintains an updated fee schedule for patient Medical Records to be provided.

For release of your records from us or for us to request records from another practice we require the completion of one of the following forms:

Medical Records Release TO Us Form

Medical Records Release FROM Us Form

Michael Burks, M.D.,FACOG – Obstetrician / Gynecologist, Columbia, MO