Clinton, Iowa Location

Contact Number: (563) 243-1413

2635 Lincoln Way, Ste A. Get Directions

Maquoketa, Iowa Location

Contact Number: (563) 652-3749

229 South Main St.   Get Directions

Confidentiality

Women’s Health Services is a Title X agency. We follow federal guidelines and protocols including HIPAA privacy guidelines to safeguard your protected information. We follow Title X confidential service guidelines. This means that services to all patients, including teens are considered confidential. Parental consent for teen patients is encouraged, but not required. Women’s Health Services follows federal and state mandatory reporting guidelines.

If patients want to allow anyone else to call to schedule/reschedule appointments, obtain test results, or discuss insurance billing information they must sign a “Limited Authorization” form. This includes parents of minors. A copy of the form is attached below. You can print it and bring it to your appointment.
Limited Authorization Form

Patient privacy and delivery of confidential services is an important element of our practice. Every effort is made to assure the protection of all patients’ personal information. Our Notice of Privacy Practices for Protected Health Information is available below.
Notice of Privacy Practices

We do not share your health information with any outside party without your consent and permission.

Confidential Communications with Women’s Health Services:

  • Use the Patient Portal for confidential messages and communications – this is secure.
  • Email messages sent to staff or a general Women’s Health Services mailbox is not secure and is NOT recommended.
  • Calls to Women’s Health Services are confidential.
  • In person appointments, discussions, or conversations with Women’s Health Services staff are confidential.

Obtaining Records:

Information regarding past visits can be accessed from the patient portal. Patients requesting copies of medical records must complete an “Authorization for Release of Medical Information”. WHS must receive a copy with the patient’s signature prior to sending records to the patient or any other provider.

Please print the “Authorization to Release Medical Information” form, complete it, and sign the form. It must be signed by the patient, even if the patient is a minor. We cannot accept a computerized signature. Send the completed form to Women’s Health Services at 2635 Lincoln Way Suite A, Clinton, IA 52732 or fax it to 563-242-9992.

You can download the form here:  Authorization to Release Medical Records