To submit a Medical Records Request to Care Initiatives, you must complete the Authorization for Release of Medical Information / Right of Access Request form in its entirety. Missing information could prevent or delay processing.
Reminder: If you are not requesting your own records, please submit documentation of your authority to request the records along with the completed form. This documentation is needed to fulfill your request.
Records may be requested via the following options:
- Securely email the form to: Records@CareInitiatives.org
- Mail the form to: Care Initiatives, Attn: Medical Records, 1611 West Lakes Pkwy., West Des Moines, IA 50266
- Fax the form to: (515) 224-0960 Attn: Medical Records
Requests may be made for care provided at any Care Initiatives location. If you are requesting records from multiple locations, please list all locations on the authorization/request form.
Processing Your Request
We will process your request upon receipt of the completed authorization/request form and any required supporting documentation. If you need to verify the status of your request, please contact us at Records@CareInitiatives.org.
