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.
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.
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
You can request a pre-printed form be sent to you via e-mail or by mail, please e-mail HIM-ConsentForm@uiowa.edu.
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.
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
