Adult to Adult Proxy Access | UnityPoint Health

Express Care - Bettendorf

01 Patients
Waiting Now

Express Care - Moline

01 Patients
Waiting Now

Express Care - North Port

02 Patients
Waiting Now

Express Care - SouthPark Pointe

00 Patients
Waiting Now

Pediatric Urgent Care - Cedar Rapids

00 Patients
Waiting Now

Proctor First Care - East Peoria

00 Patients
Waiting Now

Proctor First Care - Morton

00 Patients
Waiting Now

Proctor First Care - Peoria Heights

00 Patients
Waiting Now

UnityPoint Clinic - Express

00 Patients
Waiting Now

UnityPoint Clinic - Express (Washington)

00 Patients
Waiting Now

UnityPoint Clinic - Family Medicine and Walk-In Care - Cascade

00 Patients
Waiting Now

UnityPoint Clinic - Family Medicine and Walk-In Care - Peosta

00 Patients
Waiting Now

UnityPoint Clinic Urgent Care - Altoona

04 Patients
Waiting Now

UnityPoint Clinic Urgent Care - East

00 Patients
Waiting Now

UnityPoint Clinic Urgent Care - Ingersoll

02 Patients
Waiting Now

UnityPoint Clinic Urgent Care - West

00 Patients
Waiting Now

Urgent Care - Anamosa

00 Patients
Waiting Now

Urgent Care - Ankeny

00 Patients
Waiting Now

Urgent Care - Hiawatha

00 Patients
Waiting Now

Urgent Care - Lakeview

03 Patients
Waiting Now

Urgent Care - Marion

00 Patients
Waiting Now

Urgent Care - Merle Hay

03 Patients
Waiting Now

Urgent Care - North Crossing

00 Patients
Waiting Now

Urgent Care - Prairie Parkway

00 Patients
Waiting Now

Urgent Care - San Marnan

00 Patients
Waiting Now

Urgent Care - Southglen

02 Patients
Waiting Now

Urgent Care - Sunnybrook

00 Patients
Waiting Now

Urgent Care - United Medical Park

00 Patients
Waiting Now

Urgent Care - Urbandale

00 Patients
Waiting Now

Urgent Care - Westside

00 Patients
Waiting Now

Walk-In Care

09 Patients
Waiting Now

Adult to Adult Proxy

Required fields indicated by *

Patient Information

Patient's Date of Birth *
/ /

Proxy Information

Proxy's Date of Birth *
/ /
Identify your relationship to the Proxy *


I understand that the following information could be accessible by the proxy I authorized (please check each box):