Advanced appointments are preferred. However, for urgent needs, efforts will be made for you to see a doctor the day you call.

Please be prepared to provide the following information:

• Name
• Date of Birth
• Phone number
• Description of medical or dental problem 

 
Your visit will be scheduled as soon as possible.
 
Please call the clinic if you are unable to make your scheduled appointment. Children under age 18 need to be accompanied by a parent or an adult who has written permission from the parent to sign the clinic’s treatment contract.           

Please print the necessary forms and bring the completed forms with you to your appointment.

• Patient Information
• Financial Aid Verification
• Unemployment Verification
• Medicaid Application

Payment Options

• Medicaid
• Title 19
• Iowa Cares
• Medipass
• Medicare
• Hawk-i
• Private Insurance
• Discount Fee Schedule for those who qualify  

We Accept Cash, Check, & Most Major Credit Cards

Forms