Medical Records Request

Click here to download Authorization for Release of Information . Please print the form and fill it out and sign.

You can sign for your minor children that are under 18 years old. If you have guardianship of a minor, please send appropriate guardianship papers with release.

If you are a POA or executor for an estate, we will need appropriate papers sent with release of information. There is no charge to request medical records. Per hospital policy, we have a 10 day turnaround.

You can mail, email or fax your completed release.

Mailing Address

Madison County Health Care System
Health Information Management
300 W. Hutchings St.
Winterset, Iowa  50273

Email Address

Fax Number


We do have a patient portal available for you to access medical records for yourself, minor children or if you are a guardian for someone.   Please contact Cassey or Shelley for information on how to set up your patient portal.

Cassey  515-462-2373  Ext. 296
Shelley  515-462-2373 Ext. 298

Please feel free to call us with any questions.

Is your child due for their well-child visit? Call (515) 462-2950 to schedule today!