Patient Forms & Check-in at Wolfe Eye Clinic
Welcome to Wolfe Eye Clinic! We are glad you chose Iowa's eye experts to help you achieve Better Vision for a Better Life®! Below are some commonly requested forms and information about how to fill them out.
Medical Records Release Form
In accordance with HIPAA regulations, you may request copies of your medical record by completing an authorization form at the link below:
Authorization for Medical Records Release Form
You can return the completed authorization form to:
Mail: Wolfe Eye Clinic
Attn: ROI Dept
309 E. Church Street
Marshalltown, IA 50158
Fax: (641) 752-7420
Please note, electronic/typed signatures are not accepted; the authorization form must be hand-signed or hand-signed on an electronic device.
Questions about an upcoming appointment? Please call us at (833) 474-5850. We look forward to seeing you.