PATIENT CENTER

Medical Record Request

You can electronically request your medical records by filling out our online form. After you complete the form and hit “submit,” you will receive a page notification informing you that your request was submitted successfully. 

To manually request your medical records, please complete the following:

  1. Click on the following link and print the Authorization for Use and Disclosure of Patient Health Information Form.
  1. Complete, Sign, and Date Form. Include a picture ID of patient requesting medical records.
  1. Return Form to ORA Orthopedics by:

 

  • Fax to ORA Medical Records: (563) 324-0615 or (309) 762-3690

       or – 

  • Hand Deliver to any Clinic Location

       or – 

  • Mail to ORA Orthopedics
    Medical Records Department
    2300 53rd Ave.
    Bettendorf, IA 52722

RADIOLOGY IMAGES (X-RAY & MRI)

To ensure a more efficient and accessible method to share medical images, all radiology images will now be securely shared electronically via email from our radiology PACs or Powershare systems.  We are no longer creating CDs for radiology images.  If you do not have an email, we can directly send the radiology images to your provider that is requesting the images. 

IMPORTANT

A picture ID of patient requesting medical records must be included when faxing or mailing the medical release form.  If the medical release form is hand delivered to a clinic location the patient must present a picture ID.

Please allow 7 to 10 business days to complete your request.  Once the completed release form with patient picture ID is received in the Medical Records Department, your request will be processed.