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St. Joseph

Health Information Management – North Pointe
5210 North Belt Hwy, Entrance D
St. Joseph, MO 64506
Hours: Monday - Friday, 8 a.m. - 5 p.m.
P: (816) 271-6080
F: Release for Hospital/Clinics (816) 271-7912 or (816) 271-6538


705 North College Street
Albany, MO 64402
Hours: 8 a.m. – 4:30 p.m.
P: (660) 726-3941
F: (660) 726-3361


2016 South Main
Maryville, MO 64468
Hours: 8 a.m.-4:30 p.m.
P: (660) 562-7936
F: (660) 562-7960


Durable Power of Attorney (DPOA)

What is it and why it matters?

A Durable Power of Attorney comes into effect when a person becomes incapacitated and unable to handle matters independently.  In other words, a DPOA acts as a permission slip, giving authority to a third party to make decisions on behalf of someone else who cannot make decisions for themselves.

The Durable Power of Attorney for healthcare decisions has the power to:

  • Make decisions
  • Give, refuse or withdraw consent for the treatment of any physical or mental condition
  • Organ donation or autopsy
  • Make all necessary arrangements for hospitalization and medical or other care
  • Request and receive all information and records
  • Sign releases for records



Authorizations and Forms

Please email any completed request forms to ROI@myMLC.com

Restriction Request

Medical Records Amendment Request

Authorization For Release of Protected Health Information