Release of Information

Records are released in accordance with state and federal laws. Please contact us to request copies of medical records.

Please deliver completed form to the admissions staff or you may mail it to:

Health Information Department
Sioux Center Health
1101 9th St SE
Sioux Center, IA 51250

Phone: 712-722-8129
Fax: 712-722-8489

•   Authorization for Use or Disclosure of Health Information
•   Authorization for Use or Disclosure of Health Information (Spanish)