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Request a Medical Record

Medical Records (Medical Information Management)

Phone: 515.282.2­­­­­482
Fax: 515.282.2231
   
Hours: 7:00 a.m. - 4:00 p.m.

Click here to download the Authorization to Use or Disclose Health Information form.

Request for Medical Records

Authorization Form
An authorization form must be completed in its entirety to receive a copy of your medical records. There could be a fee assessed, based upon the type of requests.

To access the form please visit the Iowa State Bar Association.

Patient Portal
Click Here to enroll or login to the patient portal for online access to your medical information.

1801 Hickman Road, Des Moines, IA 50314-1597 | Phone 515-282-2200 | Fax 515-282-3589
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