Medical Records

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

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
Fax: 319.272.7810

Covenant Clinic Medical Records
2710 St Francis Drive, STE301
Waterloo Iowa 50702
Fax: 319.272.5382

Sign Up for Wheaton MyChart®

Your physician office medical record available anytime, anywhere–online.

For Covenant Clinic patients, Wheaton MyChart is an online tool that gives you direct access to your personal health information. Your lab results, appointment information, medications, health history, and more are all available in a secure online environment. Wheaton MyChart also makes it more convenient to communicate with your doctor’s office. Renew prescriptions, send messages, and request or cancel appointments – all online.

Click here to request your activation code.

Click here to view the full MyChart® brochure English

Click here to view the full MyChart® brochure Spanish

Click here to view the full MyChart® brochure Bosnian

Sign Up for My Hospital Record

Managing your health information just became easier! Wheaton Franciscan Healthcare is providing secure online health information from your recent hospital stay or other services. With My Hospital Record, you can have direct access to your:

• Lab results
• Medications
• Discharge instructions for what you need to do after your hospital stay
• Health history including immunizations
• Allergy list

Make sure you give your e-mail address at Check-In or to a member of your care team. You will receive an e-mail from RelayHealth after your hospital stay, so please watch for that e-mail.

If you have any questions about the site or the e-mail, you can call RelayHealth Customer Support, technology partner to Wheaton Franciscan Healthcare, at 1-866-735-2963, or e-mail

Please note that if you are a patient of Covenant Clinic, you may also have a separate MyChart account for your health information from your physician office. My Hospital Record gives you information from your hospital stay only.

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