Missouri
Medical Records Custodian & Retention Laws
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Missouri Medical Record Retention Law:
RSMo s.334.097 (retention)
- Adult patients: A minimum of 7 years.
- Patients who were minors: Missouri sets no separate period for minors. A patient who was under 18 at the time of care has until their twentieth birthday to bring a claim, so those records are commonly held at least that long.
- The retention period runs from: The date the last professional service was provided.
- The statute is silent on imaging and immunization records - it does not create parity with other states, and this checklist does not invent it.
Missouri closing-practice checklist
The same requirements as a checklist you can print and work through, with the retention periods, the notice each rule requires and what you may charge for copies.
Open the Missouri checklist →
- A search and retrieval fee of $24.85, plus 57 cents per page.
- Up to $23.26 additional retrieval labour where records are in off-site storage.
- Records supplied electronically: a total not exceeding $108.88.
- Postage including packaging and delivery; a notary fee of up to $2 if requested; the reasonable cost of reproducing anything that cannot be copied on a standard photocopier, such as X-rays.
Missouri's fees are adjusted EVERY 1 FEBRUARY by the medical-care component of CPI-U. Figures as revised 28 August 2025 - confirm before billing.
Also referred to above
RSMo s.516.105 (minors' limitation period)
This page summarises the source above and is not legal advice. Retention periods change and several states adjust their copying fees every year, so confirm the current text before you rely on a date or a figure.