About This ClinicPrint
Please fill out the forms below before coming to your appointment.
Please bring the following items to each appointment:
- Photo ID
- Current Insurance Card
- List of Current Medications
Please read our New Patient Letter for important information, including guidelines and policies.
Referrals from Non-UnityPoint Health Clinics
The clinic team must complete the Request for Consultation or Transfer of Care form and fax it to (515) 241-8789 with the following additional information:
- Patient demographics sheet
- Office notes relating to the referral
- Insurance card
- Any lab or imaging that has been done relating to the referral
- A growth chart
For an urgent referral, please also have the referring physician call the GI physician.