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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 Visit
    • Billing, Insurance, and Financial Assistance
      • Financial Counseling Services
      • 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
        • Frequently Asked Questions for Accountable Care Organization (ACO) Patients
        • Medicare Coverage
        • UI Health Care Insurance Contract List
      • Medical Records Request
    • Visitor Resources
      • Visitor guidelines, screenings, and restrictions
        • Face Mask Guidelines and Requirements
        • Visitor Restriction FAQs for Family Members
      • Things to Do in the Iowa City Area
      • Places to Stay in the Iowa City Area
        • Overnight Stay for Guests
        • Ronald McDonald House and Hope Lodge
      • Things to Do in the Hospital
      • Email a Hospitalized Patient
      • Festival of Cultures 2022 - Virtual Gallery
      • Holiday Resources for Patients and Visitors
      • Send a gift
    • Patient Resources
      • Patient Rights and Responsibilities
        • Social Media Policy
        • Nondiscrimination Notice
        • Health Content Permissions Policy
        • HIPAA Notice of Privacy Practices in English
          • Cuidado de Salud de la Universidad de Iowa Aviso sobre las prácticas de privacidad
        • SMS Terms and Conditions
      • Get to Know MyChart
        • MyChart Care Companion
        • eCheck-in with MyChart
      • Spiritual Services
        • Labyrinth
        • Midweek Meditations
      • Create a Patient Blog
      • Interpretation and Translation Services
      • Office of the Patient Experience
        • About Our Patient Experience Surveys and Provider Ratings
        • Our Commitment to the Patient Experience
        • Patient Relations Specialists
        • Patient and Family Advisory Board (PFAB)
        • UI Health Care's Commitment to Diversity
      • Telephone Numbers at UI Health Care
        • Integrated Call Center
      • Visitor Restriction FAQs for Patients
    • Driving directions and parking
      • Driving Directions and Parking at Iowa River Landing
    • How to Prepare for a Visit
      • On-Going Care and Follow-Up Visits
        • Home Care Options and UI Community HomeCare
        • On-Going Care Options
        • Therapy Options
      • Understanding your Health Care Team Roles
    • Your Visit to UI Hospitals & Clinics
      • Services and Amenities
        • Lost & Found
        • UI Home Solutions–Medical Supply Store
          • Mommy and Me Bedside Delivery
        • Banking Services
        • Dietitian Services
        • Discharge Lounge
        • Environmental Services
        • Fourth Floor Salon
        • Gift Shop - Wild Rose Gifts
        • Guest and Concierge Services
        • Mailboxes and Mailing Addresses
        • Patients' Library
          • Gale Virtual Reference Library
          • Patient Library Catalog
        • Play Spaces
        • Project Art
          • Artist—Art and Illness Series
            • As I Live and Breathe
          • Medical Museum
          • Project Art Main Office
          • Project Art Online Gallery - Permanent Pieces
          • Project Art Performing Arts Events
          • Requesting art for patient-focused spaces
          • Temporary Exhibits
            • 42nd Annual Staff Art Show
            • Become a Project Art Exhibitor
            • Past Temporary Exhibits
        • Wheelchairs and Patient Escorts
        • Wifi Network and Computer Access
      • Places to Eat
        • Atrium Dining Room
        • Compass Express
        • Patient Room Service
        • Rooftop Café and Rooftop Terrace
        • The Fountain Dining Room
        • The Marketplace
      • Driving Directions and Parking

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

1-800-777-8442
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