Important — Not HIPAA-compliant
FaxItOnce does not sign Business Associate Agreements (BAAs) and is not HIPAA-compliant. Patients sending their own records to a provider for personal care are generally outside the HIPAA Security Rule. Covered entities (clinics, billing companies, legal handlers of PHI) should use a HIPAA-compliant fax service.
— Release of Information
Fax medical records to SSM Health
Send the signed Authorization to Release Information form to the SSM Health ROI fax — $2.75 flat, encrypted, with delivery confirmation.
ROI Fax
636-916-9100
ROI Phone
636-916-9000
EHR
Epic / MyChart
Headquarters
St. Louis, Missouri
SSM Health medical records by fax
SSM Health is a Catholic, not-for-profit health system headquartered at 1145 Corporate Lake Dr, St. Louis, MO 63132. The Release of Information (ROI) team handles records requests across SSM's hospitals and outpatient sites in Missouri, Oklahoma, Wisconsin, and Illinois. Records are stored in Epic and accessible through MyChart.
Submit your signed Authorization to Release Information form by fax to 636-916-9100. HIPAA requires fulfillment within 30 days; most requests complete in about two weeks.
Who can request
The patient, a legal guardian, or an authorized representative with a signed HIPAA release.
What you can request
Visit summaries, imaging reports, lab results, discharge summaries, complete chart.
Fees
Per-page fees may apply for paper copies. Electronic copies via MyChart are typically free or low-cost.
Turnaround
HIPAA 30-day max. Most SSM ROI requests complete in 10–15 business days.
How to fax records to SSM Health
Get the form
Download SSM Health's Authorization to Release Information form from ssmhealth.com or call 636-916-9000.
Complete and sign
Fill patient details, dates of service, records requested, and recipient information. Sign and date.
Upload to FaxItOnce
Sign in at faxitonce.com. Upload the signed PDF.
Send
Enter 636-916-9100. Pay $2.75. Email confirmation when delivered.
SSM Health locations & contact
States served
Mailing address
1145 Corporate Lake Dr, St. Louis, MO 63132
Fax: 636-916-9100
Phone: 636-916-9000
Frequently asked questions
What is the SSM Health medical records phone number?
Release of Information phone: 636-916-9000. ROI fax: 636-916-9100.
How do I make an SSM Health medical records request?
Submit a signed Authorization to Release Information form by fax to 636-916-9100, mail, or through MyChart.
Which states does SSM Health serve?
MO, OK, WI, IL — Missouri, Oklahoma, Wisconsin, and Illinois.
Does SSM Health accept faxed authorizations?
Yes. Signed HIPAA release forms are accepted by fax.
Is FaxItOnce HIPAA-compliant?
No. We do not offer a Business Associate Agreement. Patients sending their own records to a provider are generally outside HIPAA scope; covered entities should use a HIPAA-compliant fax service.
How long do they take to fulfill?
HIPAA requires fulfillment within 30 days. Most ROI requests complete in 10–15 business days.
Send your records to SSM Health
$2.75 flat. Up to 45 pages. Encrypted in transit. Email delivery receipt.
$2.75 per fax · No subscription · No monthly fee