Forms, Policies and Guidelines | Pediatric Therapy in Des Moines
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UnityPoint Clinic Urgent Care - Altoona

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Feb. 22

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UnityPoint Clinic Urgent Care - Ingersoll

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Feb. 22

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Urgent Care - Ankeny

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Feb. 22

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Urgent Care - Lakeview

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Feb. 22

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Urgent Care - Merle Hay

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Feb. 22

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Urgent Care - Southglen

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Feb. 22

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Urgent Care - Urbandale

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Feb. 22

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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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