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  • University Of Iowa Health Care Authorization For Release Of Information

Get University Of Iowa Health Care Authorization For Release Of Information

Graduate Medical Education University of Iowa Hospitals and Clinics C123GH, 200 Hawkins Drive Iowa City, IA 52242 3193562256 Tel 3194675559 Fax www.uihealthcare.org/gme AUTHORIZATION FOR RELEASE OF.

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Two visitors/support persons are allowed for patients aged 18–21. One visitor/support person is allowed for patients aged 22–64. Two visitors/support persons are allowed for patients 65 and older.

Contact Us: Our phone number is (319) 335-3565; Our fax number is (319) 335-3560. Our e-mail address is provost-office@uiowa.edu.

Authorization to Obtain or Release Health Care Information, Form 470-3951 (Revised 08/03). Form 470-3951 is a two-way release form used to get the permission of the client or the client's legally authorized representative to: Release health information about the client to a third party.

1-800-777-8442.

For more information, call 319-384-2785.

Douglas C Vance - Director Of Safety And Security - University of Iowa Hospitals and Clinics | LinkedIn.

Patients may be contacted directly by telephone by calling the main switchboard at (319) 356-2456.

The board requires a physician to retain all medical records, not appropriately transferred to another physician or entity, for at least seven years from the last date of service for each patient, except as otherwise required by law.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232