High Contrast Theme MyChart® licensed from Epic Systems Corporation© 1999 - 2026

Your MyChart Username will be sent to the e-mail account on file. If your account has been disabled, you do not remember your e-mail address, or you do not have a valid e-mail address on file, please …

If not signed by the patient, legal documentation is required. Once completed, return U.S. mail, fax, or email, as listed above. Internal use only: Verified and processed by: Revised: 5-2024

request access to the patient's electronic medical record. For parents, I understand this electronic access will automatically end upon the patient's 18th birthday or if the patient or provider rev

If your account has been disabled, you do not remember your e-mail address, you do not have a valid e-mail address on file, or do not remember the answer to your security question, please contact 800 …

If not signed by the patient, legal documentation is required. Once completed, return U.S. mail, fax, or email, as listed above. Internal use only: Verified and processed by: Revised: 5-2024

Once a parent/guardian has created their own MyChart account, they can access the patient’s record by: Logging in to MyChart with their own MyChart username and password. Clicking on the patient’s …

Health Information Management Department, Release of Information Office, 3281 Ridgeway Dr., Coralville, IA 52241 Telephone: 319-356-2555; Fax: 319-356-3079 or 319-353-7944; Email: him …

Standard Theme High Contrast Theme MyChart® licensed from Epic Systems Corporation

I understand my UI Health Care medical record includes information about any treatment I may have received for substance use, mental health, HIV-related information, and information about any …