Indiana Blood Center appreciates the importance of keeping your health information private. To learn about how we do this, please review our Notice of Privacy Practices.
We also understand the importance of providing you easy access to your health records.
Request Your Medical Records
Download the Authorization to Use and Disclose Health Information to request a copy of your medical records. Once completed, send form to:
ATTN: Privacy Officer
638 North 18th Street
Milwaukee, Wisconsin 53233
Questions and Concerns
If you would like to file a complaint, please contact our Privacy Officer or the Department of Health and Human Services Office. To file a complaint with Indiana Blood Center, please contact our Privacy Officer.
If you would like to request an amendment to your health records, a list of disclosures, restriction or limitation of your health information, confidential communications of your health information, or receive a paper copy of our Notice of Privacy Practices, please contact our Privacy Officer at the address or contact information listed directly above.