Medical Records

MyUnityPoint

MyUnityPoint is a secure patient website that allows you to conveniently manage your personal health online. Since MyUnityPoint is web-based, you can log in at any time, any place. Get started with MyUnityPoint today! 

In addition to the MyUnityPoint online tool, our Health Information Management (HIM) team is available to assist you with your medical records inquiries. 

Request for Medical Records

Authorization Form

An authorization form must be correctly completed in its entirety to receive a copy of your medical records. Please mail the authorization form back to the HIM Department at the appropriate address listed below. There could be a fee based on the type of request. 

Quad Cities Campus Patients:

Please print and fill out the following document and mail the completed form to: 

UnityPoint Health — Trinity Bettendorf
Attention: Medical Records HIM Department
4500 Utica Ridge Road 
Bettendorf, IA 52722

• Authorization for Release of Medical Information form (English)
• Authorization for Release of Medical Information form (Spanish)

• Parental Rights Verification form

Trinity Muscatine Campus Patients:

Please print and fill out the following document and mail the completed form to: 

UnityPoint Health — Trinity Muscatine
Attention: Medical Records HIM Department
1518 Mulberry Avenue
Muscatine, IA 52761

• Authorization for Release of Medical Information form (English)
  
• Authorization for Release of Medical Information form (Spanish)
• Parental Rights Verification form
  
  

Request for Amendment of Medical Records/Personal Health Information

Request Form

Rock Island, IL 61201