Iowa (563) 322-0971
Illinois (309) 762-3621
Illinois (309) 762-3621
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:
or –
or –
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.
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.
