Iowa DII / Refer a Patient
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We will obtain a thorough medical history, but please include what you have already discussed with the patient or anything else that may be important for this case.
Accepted file types: jpg, png, pdf, zip, dcm, stl, wudat, invwuMaximum file size: 700 MB
Only send patient information you are authorized to share. If the case is urgent, call the office on (319) 824-6948 rather than waiting on the form.