Medical Records
Medical Records Release Request
Medical records can be released by completing the appropriate form using the links below. You have the option of submitting your request online, or by printing the form and sending by mail, fax, or email to:
Washington County Hospital and Clinics
400 East Polk Street
P.O. Box 909
Washington, IA 52353
Fax: 319-863-3963
Email: ROI@wchc.org
Please note: when emailing your request, include the word CONFIDENTIAL or SECURE in the subject line.
Medical information for personal use or for another provider
Medical Records for WCHC from another organization
HIPAA Authorization for Sharing Information with Family and Friends