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Here is a Release of Information Form that you can use to obtain records from or transfer to Mercy Medical Center - New Hampton and/or Mercy Family Clinic - New Hampton.
AUTHORIZATION TO RELEASE/OBTAIN CONFIDENTIAL INFORMATION
Please note that if you are obtaining your medical records for personal use, there will be an associated fee. Return, fax or mail completed Release of Information form to:
Mercy Medical Center - New Hampton ATTN: Medical Records 308 N. Maple Ave. New Hampton, IA 50659 Fax: 641-394-1670 |
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Mercy Family Clinic - New Hampton ATTN: Medical Records 308 N. Maple Ave. New Hampton, IA 50659 Fax: 641-394-1999
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Call Medical Records at, 641-394-4121, if you have any questions about obtaining records from or transferring to Mercy Medical Center - New Hampton and/or Mercy Family Clinic - New Hampton.
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