Forms & Policies

Before your appointment with us, quickly and conveniently access patient forms from our practice or go to our Patient portal and create an account. Once you have created an account you can fill out all of the paperwork on the portal.

To view the forms listed below, you will need Adobe Reader. Please bring your completed forms with you to our office at the time of your visit.

Welcome To Our Office (Informational)

New Patient Forms

Additional Forms

Office Policies


Appointments can be made by calling our office during normal business hours or by going to the Patient Portal and requesting an appointment. All requests made through the portal will be answered during our normal business hours.

After Hours & Emergency Care

If you are experiencing an emergency, dial 911 or head to the nearest emergency room. For all other calls, an on-call physician is available 24-hours a day, 7-days a week.

Prescription Renewals

Prescriptions are renewed during normal office hours. In some instances, we may require that the patient be seen in our office prior to medication renewal.


All office visits are payable at the time of service. We accept cash, checks, and MasterCard and Visa credit and debit cards. Payments are now being accepted through our patient portal by MasterCard and Visa. Please contact our billing office at 319-758-6173 should you have any financial questions or concerns.