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Requesting Medical Records

Authorization Form

An authorization form must be completed in its entirety to receive a copy of your medical records. Please mail the authorization back to UnityPoint Health - Keokuk Health Information Management at the address listed below or bring the request during the Release of Information hours listed below. Please note: There could be a fee based on the type of requests. To transfer medical records to another provider, please have your new provider contact the Health Information Management department. 

Medical Records (HIM) Department Address:

UnityPoint Health - Keokuk
Attn: HIM Department
1600 Morgan Street
Keokuk, IA 52632