Request Medical Records FROM The Iowa Clinic
Complete this form to send your medical records to another healthcare provider.
Note: If you need imaging records (X-rays, MRIs, CT scans), use the Medical Imaging form below instead.
Imaging Records
Use this form for all imaging requests (X-rays, MRIs, CT scans, and related reports). Whether you need imaging from another provider sent to The Iowa Clinic, or your imaging sent elsewhere, this is the form to use.
Note: For other medical records like lab results, visit summaries, or clinical notes, use the Medical Records form above.
Healthcare Providers: Request Patient Medical Records
Complete this form to request patient medical records from The Iowa Clinic.
Note: If you're requesting imaging records (X-rays, MRIs, CT scans), please use the separate Medical Imaging form above.
Third-Party Organizations: Request Patient Records
Complete this form to request patient medical records from The Iowa Clinic.
Note: If you're requesting imaging records (X-rays, MRIs, CT scans), please use the separate Medical Imaging form above.
Questions?
Contact our Medical Records department at 515.875.9350
Monday through Friday, 8am to 4:30pm.
To fax records to us, use 515.875.9600.