Authorize your medical records
To be released by St. Jude to another hospital or physician (en Español)
To be sent to St. Jude from another hospital or physician (en Español)
To finalize your request, we require a copy of the patient ID (if over 18) or guardian ID (if under 18). Return the completed form and attachments by mail, fax, or email to:
St. Jude Children’s Research Hospital
Health Information Management Department
262 Danny Thomas Place, MS 104
Memphis, TN 38105
Phone (901) 595-3680
Fax (901) 595-6300
Email: ISCIHIMSROI@stjude.org