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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.

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    Clinical Staff Office

    C123 General Hospital (GH)
    1-319-384-9294
    [email protected]
    In University of Iowa Hospitals & Clinics
    200 Hawkins Drive, Iowa City, IA 52242
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    Iowa City, IA 52242
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    1-800-777-8442
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