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How to Sign Up for Proxy Access
Please download and complete one of the forms below and submit it for processing by one of the following methods.
Option 1: Fax the form in to 712-246-7287
Option 2: Drop off the form at the clinic
Option 3: Mail the form to:
Attn: Medical Records
Shenandoah Medical Center
300 Pershing Ave.
Shenandoah, Iowa 51601
Please be patient and allow up to 5 business days for processing once the form is received.