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UnityPoint Clinic - Express (Bett Plex)

5185 Competition Drive
Bettendorf, IA 52722

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UnityPoint Clinic - Express at Duck Creek

1417 Kimberly Road
Bettendorf, IA 52722

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UnityPoint Clinic Express Care - Bettendorf

3415 53rd Avenue
Bettendorf, IA 52722

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UnityPoint Clinic Express Care - Moline

106 19th Avenue
Moline, IL 61265

00 Patients
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UnityPoint Clinic Express Care - North Port

3426 North Port Drive
Muscatine, IA 52761

00 Patients
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UnityPoint Clinic Express Care - SouthPark Pointe

3904 16th Street
Moline, IL 61265

00 Patients
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Birth Care Pre-Registration

Please complete this form at 18-20 weeks in your pregnancy.

Birth *
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Would you like to receive our birthcare information by mail or email?

Patient Information


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Translation/Interpreter Services Needed?
Spiritual needs are important to some patients, would you like us to notify your faith community leader of your admission?

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Mother's Secondary Insurance


Secondary Insurance? (If yes, please complete section)

Baby's Insurance Information


Is the baby's insurance the same as the mother/carrier? *

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