Medical Records

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
• Spanish version  
  of the form.
• Pre-printed form 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 a.m. - 5 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