Obtaining Medical Records
Patients may inspect, obtain copies of, or have copies of their medical records sent to another health care provider.
Methodist Health System Hospitals and Clinics are required under state and federal laws to obtain a complete and properly executed Authorization for Release of Medical Information form before they may provide a copy of a patient’s records to anyone. In the event the patient is unable to execute the authorization, the patient’s legal representative may authorize the release of information.
Requesting a copy or inspecting your medical records
To obtain medical records from any Methodist facility, a Medical Records Request form must be completed.
If you are requesting your medical records from Methodist Jennie Edmundson Hospital, Methodist Hospital or Methodist Women's Hospital, download and print the following medical records request form:
If you are requesting medical records from a Methodist Physicians Clinic Office, download and print the following form:
- Methodist Physicians Clinic Medical Records Request (PDF)
- Methodist Physicians Clinic Medical Records Request (Spanish version) (PDF)
When completing the authorization form:
- Indicate the dates of treatment for which you are requesting
- Indicate the type of records needed – use the appropriate check off boxes
- Be sure to check the appropriate boxes if requesting information regarding: Alcohol/Drug Abuse, Mental Health, HIV/AIDS related information (this information cannot be released without specific authorization)
If the patient is a minor, 17 years or younger in Iowa, or 18 or younger in Nebraska, the authorization must be signed by a parent or his/her legally qualified representative. Proof of legal representation will be required.
While patients may request their entire record, our experience has shown that information in documents such as the Discharge Summary, Operative Report and History and Physical contain the information that most patients are seeking. For clinic records, usually the last 3 years is sufficient for most requests.
- If the medical record is being mailed to you, the summary information, including lab and X-ray reports, will be provided without charge. For additional information such as nurses’ notes, etc. a charge may be applied at the usual rate of 50 cents per page.
- If the reproduction charges are greater than $100, pre-payment will be required.
- Records provided for another medical facility or physician office will have fees waived.
Requesting radiology images, telemetry tapes
Your medical records contain reports that interpret radiology images or telemetry tapes. Contact the Imaging Department (Radiology) or Cardiac Center to obtain a copy of the actual images or tapes.
Billing statement questions and requests
The Business Office at Nebraska Methodist Health System maintains billing statement information. Your medical record does not contain your billing statements.
Submitting the request
Complete and sign the appropriate medical records request form listed above, and submit it by mailing or faxing it to the appropriate facility listed below:
Methodist Jennie Edmundson Hospital
933 East Pierce Street
Council Bluffs, Iowa 51503
Attention: Health Information Management Release of Information
Or Fax (712) 396-7773
For more information, call (712) 396-6021
Methodist Hospital and Methodist Women's Hospital
Methodist Physicians Clinic
10060 Regency Circle
Omaha NE 68114
Or Fax (402) 354-1350
For more information, call (402) 354-1494.
You can also bring the signed Authorization Form to
Methodist Jennie Edmundson Hospital Health Information Management Department
Hours: Monday through Friday, 7:30 a.m. - 6:30 p.m., except Holidays.
933 East Pierce Street, Council Bluffs, IA
Ground floor in the E Wing. Follow the signs to the Cafeteria – the office is directly across the hall.
Methodist Hospital Health Information Management
Hours: Monday through Friday, 8 a.m. – 5 p.m.
8303 Dodge Street, Omaha, NE.
Methodist Physicians Clinic Health Information Management Department
Hours: Monday through Friday, 8 a.m. - 5 p.m.?
10060 Regency Circle, Omaha, NE, first floor, or the clinic where you received care.
Inspecting or requesting a copy of your medical records
You may only inspect records at the facility location
To schedule an appointment to inspect your records, call the facility where you received care and schedule an appointment. A photo ID will be required.
Processing time for copies of your records
Please allow 30 days for your request to be processed. You will be notified when your records are ready.
Picking up your requested medical records
If you plan to come to the office to pick up your records, please bring a photo ID.
Someone else is picking up your requested medical records
If an individual other than the patient is picking up requested medical records, then that individual will need an original signed authorization letter from the patient stating that he or she has permission to pick up the records and a photo ID.