release your medical records

Requests for copies of your medical records must be submitted in writing, per state and federal law.

 

Further questions? Contact Health Information Management at 712.546.3337.

Download the Release of Medical Records Form - English

Download the Release of Medical Records Form - Spanish

Return your completed form to:

Floyd Valley Healthcare

714 Lincoln Street NE

Le Mars, IA 51031

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712.546.7871

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