Verification Requests

Hospital Privilege for the University of Iowa Hospitals & Clinics

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


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.