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Clinical Staff - Verification Requests

Hospital Privilege for the University of Iowa Hospitals & Clinics

Fax request with signed and dated release of information, (please include your e-mail address).

Verification Request Form

To pay by credit card, please call 1-319-384-9294.

If you need to pay by check, make $25.00 check payable to (please include your e-mail address):

University of Iowa Clinical Staff Office
Attn: Debbie Poole
200 Hawkins Drive, C123 GH
Iowa City IA 52242-1009

  • Please note: Follow-up should be made directly with Clinical Department Head for evaluation portion of verification.
  • Please note: Delineated privileges are not granted to residents and fellows in training. Fellow Associates are the only exceptions.
  • Please note: The dates given by this office relate to the delineated privileges granted by the hospital, employment/appointment dates in the Colleges can differ.

Post Graduate Training completed at the University of Iowa Hospitals & Clinics. Please see request requirements at Graduate Medical Education.

Medical Education verification for the University of Iowa College of Medicine (or other University of Iowa degrees), can be requested online.

Employment/Work History available through The Work Number (the Clinical Staff Office is not the authority on employment data).

Medical Records Request available online.

    Sidebar content

    • About Us
      • Job Seekers
        • Join Our Clinical Care Team!
      • Mission, Vision, and Core Values
      • Leadership
      • Designations and Distinctions
        • Basic Facts
          • History
          • Medical Achievements
      • Quality and Safety
      • Academic Departments
      • Care Coordination Division/Social Services
        • Advance Directives
        • Care Coordination Division Continuing Education Program
        • Care Coordination Division Employment Opportunities
        • Care Coordination Division Patient Medication Assistance Program
        • Care Coordination Division Transportation Assistance and Resources
          • Bus and Shuttle Services
          • Wheelchair Services
        • Clinical Social Work Services
        • Food Assistance and Meal Delivery Programs
        • General Financial Assistance Resources
        • Health Care Benefits Assistance Program (HCBAP)
        • Honoring Your Wishes
        • Oncology Social Work
        • Social Service History
      • Critical Access Hospital Network
      • Ethics Consult Service
      • Info For Directory
        • Volunteer Services
          • Become a Volunteer
            • College Student Volunteers
              • College Student Leader Board
              • College Student Volunteer Placement Options
              • Mentor Program
            • Community/Staff Volunteers
            • Special Projects for Volunteers
          • Resources for Current Volunteers
            • Virtual Lunch & Learn Events
            • Volunteer Hours Submission
            • Volunteer Services - Request a Leave of Absence
          • Sponsored Businesses and Featured Programs
            • Furry Friends
              • Certified Dog Visit - Handler Guidelines
          • Volunteer Services Gift Cards
          • Where Does the Volunteer Services Money Go?
        • Donors
          • Donating Through the UI Center for Advancement
          • Donations
            • Frequently Asked Questions: In-Kind Gift Donations
        • Emergency Responders
          • Disaster Preparedness Is For Everyone
          • Ground Safety Education
        • Faculty & Staff
          • Clinical Staff Office
            • Clinical Staff - Verification Requests
          • Procurement Services
          • Tuition Reimbursement
          • Engineering Services
            • Engineering Services Faculty and Staff
            • Engineering Services Staff
            • Floor Plans
            • Work Order Request - Engineering Services
            • Work Order Request - Medical Instruments Shop
          • Material Services Department
            • Linen Services
            • Mail Services
            • Material Services - Processed Stores
            • Material Services - Shipping and Receiving
            • Uniform Shop
          • University Employee Health Clinic
            • Employee Flu Vaccinations
            • Frequently Asked Questions: University Employee Health Clinic
            • Pre-Employment Screening for Health Care Personnel
            • University of Iowa Employee Health Clinic Confidentiality Policy
            • University of Iowa Health Care Employee Services
              • UI Health Care Pre-Employment Health Screening Instructions
              • Communicable Disease Exposures and Reproductive Hazard Screenings
              • Respirator Fit Testing
              • Evaluation Following Exposure to Human Blood/Body Fluids
              • Special Population Screenings
              • Blood Pressure Monitoring Services for Employees
              • Tuberculosis (TB) Screening
          • Health Professionals
            • Center for Procedural Skills and Simulation (CPSS)
              • Team-Based Simulation Design and Debriefing
            • Provider Resources
          • Web Privacy Policy
        • Partner Businesses
        • Researchers
        • Students and Trainees
          • Graduate Medical Education
      • Virtual Hospitalist Service for Rural Hospitals

    Locations and Offices

    Clinical Staff Office

    C123 General Hospital (GH)
    1-319-384-9294
    [email protected]
    Clinical Staff Office at UI Hospitals & Clinics
    In University of Iowa Hospitals & Clinics
    200 Hawkins Drive, Iowa City, IA 52242
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    200 Hawkins Drive
    Iowa City, IA 52242
    United States

    1-800-777-8442
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