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Authorization to Use or Disclose Health Information Phone: 5152822482 FAX: 5152822231 Patients Legal Name: 1. Date of Birth: / / MR#: I authorize to release medical information concerning the above.

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Iowa Methodist Medical Center is a non-profit, 370-bed hospital in Des Moines, Iowa owned and operated by UnityPoint Health.

The Iowa Clinic Healthcare Foundation is a 501 (c) 3 tax-exempt organization; All contributions are exempt from federal income taxes to the fullest extent allowed by law.

UnityPoint Health is the nation's fifth largest non-denominational health system. This overall system name also includes the former Iowa Health Physicians & Clinics (now UnityPoint Clinic), and Iowa Health Home Care (now UnityPoint at Home and UnityPoint Hospice.)

Mission. Broadlawns Medical Center strives to build a healthy community in which there is accessible, cost-effective and high-quality patient care for all.

Methodist Medical Center – Plaza II.

Questions? The IT Helpdesk is available Monday through Friday 8:00 a.m. to 4:00 p.m. at (515) 282-2342 or email helpdesk@broadlawns.org.

Our primary location is a 170,000 square foot state of the art medical facility located in West Des Moines. We have 7 other clinic sites throughout the Des Moines Metropolitan area as well as numerous outreach clinics in rural areas.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232