Authorization to Release Health Information
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An Authorization to Release Health Information form needs to be completed in order to file claims for FMLA and Disability, or to obtain copies of medical records and X-rays.
Please submit the completed form and, if applicable, any FMLA or Disability paperwork, Medical Records, or X-rays to:
Indiana University Health Arnett
Health Information Management
PO Box 5545
Lafayette, IN 47903
IU Health Arnett Medical Offices
2600 Greenbush Street, 2nd Floor
Lafayette, IN 47904
Medical Records: 765.448.8722
Authorization to Release forms can also be dropped off at any IU Health Arnett Medical Office for submission to the appropriate department.
Please contact Health Information Management at 765.448.8206 for additional assistance.