Speaker Request Form

At UnityPoint Health - Des Moines, we welcome the opportunity to share our expertise with the community. Our health care professionals are available to speak to your organization about a number of different health topics.

We just need to know a little more about your event and/or organization. Please complete the requested information below and we will do our best to make sure one of our experts can speak to your group. When you have completed this form, please hit the submit button at the bottom. Please allow at least three weeks notice in order for us to find the best person to speak at your event.

If you have any questions, please call our Public Relations Department at (515) 241-6302.

* Required Fields

Contact Name *Organization *Daytime Phone *Street Address *Email Address *City State Zip *Event InformationPossible Date(s) *Time allotted for speaker *Possible Time(s) *Are there any other details we need to know? *Location *AudienceAge Range *Topics: Tell us what topics may interest your audience. *Gender *MaleFemaleBothNumber of People *

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UnityPoint Clinic - Express (Ankeny)

UnityPoint Clinic - Express (Jordan Creek)

UnityPoint Clinic - Express (Waukee)

UnityPoint Clinic Behavioral Health Urgent Care - Des Moines

UnityPoint Clinic Urgent Care - Altoona

UnityPoint Clinic Urgent Care - Ankeny Medical Park

UnityPoint Clinic Urgent Care - Ingersoll

UnityPoint Clinic Urgent Care - Lakeview

UnityPoint Clinic Urgent Care - Southglen

UnityPoint Clinic Urgent Care - Urbandale

Speaker Request Form

The way we make people feel matters more than anything else.

Are you a current patient or new patient at UnityPoint Health?

UnityPoint Clinic - Express (Ankeny)

UnityPoint Clinic - Express (Jordan Creek)

UnityPoint Clinic - Express (Waukee)

UnityPoint Clinic Behavioral Health Urgent Care - Des Moines

UnityPoint Clinic Urgent Care - Altoona

UnityPoint Clinic Urgent Care - Ankeny Medical Park

UnityPoint Clinic Urgent Care - Ingersoll

UnityPoint Clinic Urgent Care - Lakeview

UnityPoint Clinic Urgent Care - Southglen

UnityPoint Clinic Urgent Care - Urbandale

Speaker Request Form