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. Communications via email are no secure and there is a possibility the information you include in an email can be intercepted.  If you'd prefer a secure method, please submit your release via fax number or mailing address listed above. 

Questions about an upcoming appointment? Please call us at (833) 474-5850. We look forward to seeing you.