Women’s Health & Family 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 & Family 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.
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.
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”. We 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 & Family Services at 2635 Lincoln Way Suite A, Clinton, IA 52732 or fax it to 563-242-9992.