All requests for copies of medical records must be received in writing. Requests via e-mail cannot be accepted. For a HIPAA compliant form to authorize release of medical information, please click here. For a Spanish version of the form, please click here. To request a pre-printed form be sent to you via e-mail or by mail, please e-mail HIM-ConsentForm@uiowa.edu. To avoid delays in processing, please review the form carefully and complete all sections. If the patient is a minor (less than 18 years of age), a parent or legal guardian must sign. Questions regarding release of information or the pre-printed form, may be directed to the Release of Information Office at 319-356-1719, Monday - Friday, 8:00 a.m. - 5:00 p.m. Mail completed forms to:
University of Iowa Hospitals and Clinics
Release of Information Office, 2072 SRF
200 Hawkins Drive
Iowa City, IA, 52242
Urgent patient care requests may be faxed to 319-356-3079.
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