Medical Record Request

Patient Forms

Use the Release of Information Form to obtain records from or transfer records to Jackson County Regional Health Center.

Return, email or mail the completed Release of Information form to:

By Mail

Jackson County Regional Health Center
ATTN: Medical records
601 Hospital Drive, PO Box 910
Maquoketa, IA 52060

For questions about medical records please call: 563.652.7762

Office Hours: Monday-Friday 7am-4pm

Patient Portal

Jackson County Regional Health Center’s patient portal gives you easy, online access 24 hours a day, to portions of your hospital medical records and test results. The portal is free to use, simple to sign-up for and completely secure. Only you and your care team have access to your private health information. Sign up for the Patient Portal for convenient access to your health information online, at any time.

Questions?

Call us at 563.652.2474 or fill out the form below.

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