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UnityPoint Clinic - Express (North Crossing)

2134 Logan Avenue
Waterloo, IA 50703

Closed Patients
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UnityPoint Clinic - Express (Prairie Parkway)

5100 Prairie Parkway
Cedar Falls, IA 50613

Closed Patients
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UnityPoint Clinic - Express (San Marnan)

1655 East San Marnan Drive
Waterloo, IA 50702

Closed Patients
Waiting Now

UnityPoint Clinic - Express (Waverly)

101 Cedar River Pkwy 101
Waverly, IA 50677

Closed Patients
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UnityPoint Clinic Express - United Medical Park

1731 West Ridgeway Avenue
Waterloo, IA 50701

Closed Patients
Waiting Now
Pre-Registration for Baby

Birth Care Pre-Registration

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

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

Patient Information


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

Mailing Address


Employment Status (if applicable)

Emergency Contact Information



Mother's Insurance Information



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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