Medical Records
The MyUnityPoint Patient Portal
The MyUnityPoint patient portal may eliminate the need for separate paper medical record requests, saving you time and money. MyUnityPoint is a secure website for patients, allowing you to access and request your health information from UnityPoint Health Hospital and Clinic visits. There is no fee for patients requesting and accessing their medical records through the MyUnityPoint patient portal. Note: If you are a new user, instructions regarding registration can be found on the login page.
How to Request Your Hospital Medical Records
Records may be requested via phone, email, fax or the MyUnityPoint patient portal. Please note all requests from patients to direct records to a third party must be in writing and signed by the patient/patient representative.
When requesting records, please be sure to include the following:
- Patient-identifying information
- Location/facility the records are needed from
- Who should receive the records
- What information should be sent (ex: lab, radiology report, etc.)
- Format in which you would like the information to be produced
- Date of request
- Signature (on written requests)
You may also complete our request for information form.
Delivery options:
- Electronically, either using the MyUnityPoint patient portal or via a secured/unsecured provided email address. (Note: If using an unsecured email address, there may be some level of risk that the protected health information (PHI) in the email could be read by a third party.)
- Paper or CD/DVD mailed to the address specified in your request.
- Arranged pick up. If you choose to pick up your medical records, please bring photo identification with you.
Release of Information
Please contact the Release of Information department for the facility you need records from.
Coverage Area | Included Locations | Contact Info | Phone | Fax | |
---|---|---|---|---|---|
Cedar Rapids, IA Anamosa, IA |
St. Luke's Hospital, Jones Regional Medical Center | UnityPoint Health - Cedar Rapids Attn: Medical Records 1026 A. Ave. NE Cedar Rapids, IA 52402 |
319-369-8227 | 319-368-5870 | UPH_STLCR_ROI@unitypoint.org |
Des Moines, IA and Grinnell, IA | Iowa Lutheran Hospital, Iowa Methodist Medical Center, Blank Children's Hospital, Methodist West Hospital, Grinnell Regional Medical Center |
UnityPoint Health – Des Moines
|
515-241-6306 |
515-241-4365 |
UPH_DSM_ROI@unitypoint.org |
Dubuque, IA | Finley Hospital and select clinics | UnityPoint Health - Finley Attn: Medical Records 350 N. Grandview Avenue Dubuque, IA 52001 |
563-589-2441 | 563-589-2618 | UPH_Finley_ROI@unitypoint.org |
Fort Dodge, IA | Trinity Regional Medical Center | UnityPoint Health - Ft. Dodge Attn: Medical Records 802 Kenyon Rd. Fort Dodge, IA 50501 |
515-574-6560 | 515-574-6963 | UPH_TFD_ROI@unitypoint.org |
Madison, WI | Meriter Hospital and clinics | UnityPoint Health – Meriter 202 S. Park Street Madison, WI 53715 |
608-417-6406 | 608-417-6016 | MSN_HIMROI@unitypoint.org |
Marshalltown, IA | Marshalltown Hospital |
UnityPoint Health - Marshalltown Attn: Medical Records 55 UnityPoint Way Marshalltown, IA 50158 |
641-328-7666 | 641-754-5150 | UPH_AMH_ROI@unitypoint.org |
Quad Cities, IA Muscatine, IA |
Trinity Rock Island, Trinity Moline, Trinity Bettendorf, Trinity Muscatine | UnityPoint Health - Quad Cities Attn: Medical Records 2701 17th Street Rock Island, IL 61201 |
563-742-3500 | 309-623-7053 | UPH_TQC_ROI@unitypoint.org |
Sioux City, IA | St. Luke's Hospital | UnityPoint Health - Sioux City
Attn: Medical Records 2720 Stone Park Blvd. Sioux City, IA 51104 |
712-279-3978 | 712-535-7179 | UPH_STLSC_ROI@unitypoint.org |
Waterloo, IA | Allen Hospital | UnityPoint Health - Allen Hospital Attn: Medical Records 1825 Logan Avenue Waterloo, IA 50703 |
319-235-3618 | 319-235-3191 | UPH_AMH_ROI@unitypoint.org |
UnityPoint at Home | 888-584-6311 | UPaHMedicalRecords@unitypoint.org | |||
Specialty Pharmacy | 877-804-2713 | UPAHDM-SpecialtyPharmacy@unitypoint.org |
How to Request Your UnityPoint Clinic Medical Records
To request your clinic medical records, please complete this authorization form and send it to your provider’s office.
If the patient is a minor (less than 18 years of age), a parent or legal guardian must sign the form and complete the parental rights notification section.
Note: UnityPoint Clinic partners with a third-party vendor for release of information services.
How to Request Other Non-Hospital Medical Records
Billing Questions/Records
For billing questions or to obtain billing records, please contact the Centralized Billing Office at (844) 849-1260 or (515) 362-5111.
UnityPoint Health – Central Billing Office
Attention: Correspondence
P.O. Box 35758
Des Moines, IA 50315
Birth Certificates
Birth certificates are not available through UnityPoint Health. If you need a copy of your birth certificate, please contact your state's Vital Records department:
Iowa Department of Public Health
Attn: Vital Records
Birth Registration Program
Lucas State Office Building, 1st Floor
Des Moines, IA 50309-0075
Phone: (515) 281-4944
Birth certificates are not available through UnityPoint Health. If you need a copy of your birth certificate, please contact your state's Vital Records department:
Wisconsin Vital Records Office
P.O. Box 309
Madison, WI 53701
Phone: 877-855-2981
Birth certificates are not available through UnityPoint Health. If you need a copy of your birth certificate, please contact your state's Vital Records department:
Illinois Department of Public Health
Division of Vital Records
925 E. Ridgely Ave - 2737
Springfield, IL 62702
Phone:
Fax: (217) 523-2648
Authorization Forms
- UnityPoint Health Authorization for Release of Medical Information
- UnityPoint Health Authorization for Release of Medical Information – Spanish
Please mail the full completed authorization(s) to the appropriate UnityPoint Health facility listed in the Release of Information section above.
Illinois Only
- Authorization Form for Relatives of a Deceased Person (to request patient records of a deceased person)
FAQs
Here are some frequently asked questions explaining how we handle our patients' health records and how you can make sure you have access to your own personal record.
A: At UnityPoint Health, we have a compliance program that includes policies implementing patient privacy and security requirements mandated under all applicable federal and state law. We provide training to our team members on the importance of complying with these policies and regularly conduct audits to confirm the effectiveness of our privacy and security compliance policies.
A: Yes, records can be faxed to a patient’s home or office. Patients should be aware that faxing to a shared or public fax machine may not be secured and protected. Records could be viewed or subject to access by third-party individuals or others who may have access to the fax machine. This could result in the sharing or further disclosure of your health information.
UnityPoint Clinic partners with a third-party vendor for release of information services. To request medical records from your clinic, submit an authorization form to your local UnityPoint Clinic location or contact the clinic directly.
A: The patient or the patient's representative would need to consent to release of their medical records. However, if you have Power of Attorney (POA), or you're the executor of the patient's estate, you must submit an “Authorization to Disclose Protected Health Information” form along with a copy of the legal document designating POA or executor rights.
A: The administrator or executor of individual’s estate or the individual’s personal representative may authorize release of protected health information (PHI) pertaining to the decedent. The following documentation must be received to release the decedent’s records:
- Death certificate
- Name of Next of Kin/Executor of Estate
- Authorization Relative Form (Illinois Only)
- Signed authorization (if directing to a third-party)
If there is no administrator, executor, or personal representative, the order of priority for information release will be:
- A court-appointed guardian;
- The individual’s spouse;
- Adult children of the individual;
- Either parent of the individual;
- Adult siblings of the individual;
- Other immediate or extended family members