WebGet your records by mail or fax To request a copy of your VA medical records by mail or fax, send a signed and completed VA Form 10-5345a to our Release of Information office. Download VA Form 10-5345a (PDF) Mail your signed form to 601 Hwy 6 West Iowa City, IA 52246 Fax your signed form to 319-339-7189 WebAll requests for copies of medical records must be received in writing. If the patient is a minor (less than 18 years of age), a parent or legal guardian must sign the authorization. Patient care requests may be faxed to (319) 398-6848. Print a copy of the Release of Health Information Authorization form(PDF format).

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WebFor record requests or release of information questions, please call 319-385-6139. Fill out the Release of Information completely, mark all appropriate boxes and sign the form. You may either send the form via mail or fax it to 319-385-6573. Please be sure you have included your phone number in case there are questions. WebMedical Record Forms If you're a Mayo Clinic Health System patient or have been one in the past, you can use these forms to grant permission for others to access your protected health information or request a change to your health record. Grant access to your protected health information Complete and submit the appropriate authorization form below: biw trims

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WebRequesting Mercy Medical Records. The release of personal medical health records can be obtained by completing the appropriate form (s) below and submitting to your Mercy physician's office or local Mercy Health Information Management office . Patient Request: Access to Protected Health Information (PHI): English en Español. WebMedia Request. For media inquiries please call 515.875.9100 to be directed to the … WebA. Yes, you are able to view your medical record. There is no charge for viewing your … dateline nathan leuthold