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:

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.