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If you have symptoms that include fever, cough, and difficulty breathing, and you have had contact with a person with COVID-19 OR have traveled to an impacted COVID-19 country in the last month, please call ahead before visiting a medical facility. Proper screening and assessment will occur over the phone, and you'll then be advised on next steps. These precautions are important, as they help protect others from being exposed to the virus.

Find out where to go for care during the COVID-19 pandemic.

This form may be used to conveniently ask questions or share concerns. In the event of a medical emergency, please call 911. Also, please be aware that personal health information should not be shared via this request form. 
Please use the UnityPoint Clinic secure patient portal for requests to your provider's office.