Non-identifying medical history information is available to adoptees and adoptive parents.

Iowa law provides access to confidential adoption records only by court order. The Legislature has not considered the issue of a "search and consent" procedure since a proposal was submitted (and rejected) in 1985, although reportedly such efforts are currently being renewed.

At this time, birth parents may file affidavits of consent or non-consent if an application on good cause is made to the court. The court may deny the application if there is a younger sibling adopted by the same parents.