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