Patients & Visitors

Medical Records

Wheaton Franciscan Healthcare wants to make the release of information easy for you.

If you want to have any of your medical information released you will need to fill out the form below:

Authorization to Disclose Health Information form PDF

Please send completed forms to:

Covenant Medical Center
Health Information Department
3421 West Ninth Street
Waterloo, IA 50702

Hospital HIM Department Fax: 319.272.7810

Covenant Clinic HIM Department Fax: 319.272.5382