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UnityPoint Clinic - Express (Ankeny)

1055 Southwest Oralabor Road
Ankeny, IA 50023

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UnityPoint Clinic - Express (Jordan Creek)

180 Jordan Creek Pkwy
West Des Moines, IA 50266

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UnityPoint Clinic - Express (Waukee)

950 E Hickman Rd
Waukee, IA 50263

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UnityPoint Clinic Family Medicine | Urgent Care - Lakeview

6000 University Avenue
West Des Moines, IA 50266

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UnityPoint Clinic Urgent Care - Altoona

2720 8th Street Southwest
Altoona, IA 50009

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UnityPoint Clinic Urgent Care - Ankeny Medical Park

3625 North Ankeny Boulevard
Ankeny, IA 50023

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UnityPoint Clinic Urgent Care - Ingersoll

2103 Ingersoll Avenue
Des Moines, IA 50312

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UnityPoint Clinic Urgent Care - Merle Hay

4020 Merle Hay Road
Des Moines, IA 50310

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UnityPoint Clinic Urgent Care - Southglen

6520 Southeast 14th Street
Des Moines, IA 50320

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UnityPoint Clinic Urgent Care - Urbandale

5200 NW 100th Street
Urbandale, IA 50322

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Blank Children's Hospital

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


English

Spanish

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.

English

Spanish

Policies and Guidelines

English

Spanish