Perry:
2605 Iowa Street, Perry, Iowa 50220 Phone: (515)465-2633
Waukee: 238 Highway 6, Waukee, Iowa 50263 Phone: (515)987-9797
Waukee: 238 Highway 6, Waukee, Iowa 50263 Phone: (515)987-9797
New Patient Registration Forms
We recognize that your time is valuable. We will make every attempt to see you at your scheduled appointment time. To save time, download our New Patient Registration Form. This may be easily completed using your keyboard and mouse. Print the completed form and fax it to us or bring it with you to your first appointment.
To print our New Patient Registration Form, please click on the link above. You will need Acrobat Reader, which is a free software program available by clicking the Get Adobe Reader button below.
