Medical Records Request

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If you would like access to your medical record, please talk to your health care team. 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. You may also access your medical record information quickly and electronically with a MyChart account. If you do not yet have a MyChart account you may request an access code for yourself by completing the MyChart Self Access Application form. 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.

All requests for copies of medical records must be received in writing. Requests via e-mail cannot be accepted.

• Use our HIPAA-compliant form to authorize release of medical information.
• To request a pre-printed form be sent to you via e-mail or by mail, please e-mail HIM-ConsentForm@uiowa.edu.
• Review the UI Hospitals and Clinics patient rights and advocacy statement.

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 through Friday between 8 a.m. to 5 p.m.

Mail completed forms to:

Urgent patient care requests may be faxed to 319-356-3079.

Consider Using MyChart

We recommend you consider subscribing to MyChart, a program that allows you to access your medical records securely on-line. You'll find MyChart to be a convenient way to track your appointments, contact members of your care team, and renew your prescriptions. You'll receive MyChart registration information as part of your clinic or hospital discharge instructions.

Ordering a Birth Certificate

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