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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 Blessing 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:

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