Release of Information

Here is a Release of Information Form that you can use to obtain records from Hansen Family Hospital for hospital or clinic visits.

Request for Release of Health Information

Please note that if you are obtaining your medical records for personal use, there will be an associated fee.

Return or mail completed Release of Information form to:

Hansen Family Hospital


ATTN:  Health Records


920 South Oak Street


Iowa Falls, IA 50126-2400

Call Health Records, 641-648-7082, if you have any questions regarding the Release of Information Form for your medical records from Hansen Family Hospital or any of our clinics.

Fax: 641-648-7095