To request the release of information online please scroll down and complete the online form. If you would prefer to mail, fax or email, please print the Authorization for Release of Medical Information form, complete the form and fax or mail it to DMOS Orthopaedic Centers c/o Medical Records Office. Your records will then be mailed or faxed to the appropriate party, or you are welcome to pick them up at our Registration Desk at one of our 3 locations.
DMOS Medical Records phone and fax numbers:
DMOS – Ankeny, Des Moines & West Des Moines
Tel: 515.224.1414, option #6 for Medical Records
For electronic submission please complete and submit the form below.