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Medical Records Request

You have a right to review, on request, a copy of your medical record and/or receive a copy of your medical record for reasonable copying charges.

Methods to access your medical records

If you would like access to your medical record, please talk to your health care team.

Access records in MyChart

Access records in MyChart

You may access your medical record information quickly and electronically with a MyChart account.

You may also sign up to view your child’s or another adult’s medical records through MyChart by visiting the MyChart Forms website and completing the appropriate application form.
  • Learn more about MyChart
  • Sign up for MyChart

The preferred method to receive medical record requests is in writing or via MyChart. However, when these options are not available, requests may be sent via e-mail or fax.

Download and complete this form

Use our HIPAA-compliant form to authorize the release of medical information. The Admin - Consent to Release of Information and Right of Access Request.

Send in your medical record request

You can submit the completed form by email, fax, or direct mail.

By Mail

Health Information Management (Medical Records)
University of Iowa Health Care
200 Hawkins Drive, HSSB Suite 100
Iowa City, IA 52242

By Email: [email protected]
By Fax: 1-319-356-3079

Don't have a printer?

You can request a pre-printed form be sent to you via e-mail or by mail, please e-mail [email protected].

Completing a form on behalf of a child?

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.

Have any additional questions?

Questions regarding release of information or the pre-printed form, may be directed to the Release of Information Office at 1-319-356-1719, Monday through Friday between 8 a.m. to 5 p.m.

Curious about patient rights?

You can review the University of Iowa Hospitals & Clinics patient rights and advocacy statement.

Ordering a Birth Certificate

Birth certificates for all individuals born at UI Hospitals & Clinics are kept on file at the Johnson County Recorder's Office. Requests for official copies of birth certificates should be addressed to:

Recorder's Office
913 S. Dubuque St.
Iowa City, Iowa 52240
Phone: 1-319-356-6093

Sidebar content

  • Your Child's Visit
    • Patient Resources
      • How to prepare for your child's visit
        • Coming to your appointment
      • Spiritual Services
      • Create or Read a Patient Blog
      • Educational Services
      • Get to know MyChart
      • Guest and Concierge Services
      • Interpretation and Translation Services
      • Office of the Patient Experience
      • Pediatric Clinical Trials
      • Social Services
      • Support Groups and Classes
      • Telephone Numbers at UI Health Care
        • Integrated Call Center
    • Services and Amenities at UI Stead Family Children's Hospital
      • Driving Directions and Parking
      • Places to Eat
        • Guest Meal Room Service
        • Bread Garden Cafe - Gerdin Family Lobby
        • Gerdin Family Lobby CafĂ©
        • Patient Room Service at UI Stead Family Children's Hospital
      • Fourth Floor Salon
      • Janice and Bruce Ellig Children's Library
      • Kaleidoscope Gift Shop
      • Medical Museum
      • Play Spaces
      • Project Art
        • Artwork inside UI Stead Family Children's Hospital
        • Online Gallery
      • Safety Store
    • Billing, Insurance, and Financial Assistance
      • Financial Counseling Services
        • Financing Assistance for Children's Health Care
      • Financial and Billing Assistance
        • Billing Checklist
        • How to Read Your Bill
        • Options and Steps for Paying your Bill
        • Rights and Protections Against Surprise Medical Bills
        • Billing for Hospital-Based Clinics
      • Frequently Asked Questions About Billing, Insurance, and Records
      • Insurance Coverages and Patient Registration
        • UI Health Care Insurance Contract List
        • Frequently Asked Questions for Accountable Care Organization (ACO) Patients
        • Medicare Coverage
      • Medical Records Request
    • Visitor Resources
      • Email a Hospitalized Patient
      • Places to Stay in the Iowa City Area
        • Overnight Stay for Guests
        • Ronald McDonald House and Hope Lodge
      • Send a gift
      • Visitor guidelines, screenings, and restrictions
        • No Tobacco Use

Locations and Offices

Health Information Management

Health Care Support Services Building (HSSB), Suite 100
1-319-356-1719
[email protected]
Resource Office
In University of Iowa Hospitals & Clinics
200 Hawkins Drive, Iowa City, IA 52242
Clinical Trials currently in progress
Browse all clinical trials in progress

200 Hawkins Drive
Iowa City, IA 52242
United States

1-888-573-5437
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