Forms, Policies and Guidelines | Pediatric Therapy in Des Moines
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UnityPoint Clinic - Express (Jordan Creek)

180 Jordan Creek Parkway, Suite 120
West Des Moines, Iowa 50266

Updated 2:50 AM
Oct. 30

Information posted is an estimate.
Your personal experience may vary.

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UnityPoint Clinic - Express (Waukee)

950 E. Hickman Road
Waukee, Iowa 50263

Updated 2:50 AM
Oct. 30

Information posted is an estimate.
Your personal experience may vary.

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Urgent Care - Altoona

2720 8th St. SW
Altoona, Iowa 50009

Updated 2:50 AM
Oct. 30

Information posted is an estimate.
Your personal experience may vary.

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Urgent Care - Ankeny

3625 N. Ankeny Blvd.
Suite E
Ankeny, Iowa 50023

Updated 2:50 AM
Oct. 30

Information posted is an estimate.
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Urgent Care - Ingersoll

2103 Ingersoll Ave., Ste. 2
Des Moines, Iowa 50312

Updated 2:50 AM
Oct. 30

Information posted is an estimate.
Your personal experience may vary.

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Urgent Care - Lakeview

6000 University Avenue
Suite 101
West Des Moines, Iowa 50266

Updated 2:50 AM
Oct. 30

Information posted is an estimate.
Your personal experience may vary.

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Urgent Care - Merle Hay

4020 Merle Hay Road
Suite 100
Des Moines, Iowa 50310

Updated 2:50 AM
Oct. 30

Information posted is an estimate.
Your personal experience may vary.

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Urgent Care - Southglen

6520 SE 14th St.
Des Moines, Iowa 50320

Updated 2:50 AM
Oct. 30

Information posted is an estimate.
Your personal experience may vary.

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Urgent Care - Urbandale

5200 NW 100th Street
Urbandale, Iowa 50322

Updated 2:50 AM
Oct. 30

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Forms, Policies and Guidelines

Welcome Letter

Case History Forms

Please complete the proper form below before your first appointment. You can download the form and fill in the answers within the PDF. Please email your completed form to BCH_PediatricTherapy@unitypoint.org. 


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Additional Forms

The Therapy Participation Agreement and the Discharge Policy are available for you to review. Your child will receive a Welcome Folder at the first appointment and your therapist will review and sign these documents with you.

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Policies and Guidelines

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