PATIENT REGISTRATION

Complete the form below or call to schedule 319-246-2006

Patient Demographics

Demographics

 

What brought you in today?

 

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Acknowledgements

For our records, please send front and back pictures of your insurance card to our office email: office@teamiowapt.com


CAPTCHA

HOURS

Monday–Thursday 7AM–6:20PM
Friday 7AM-3:40PM
Saturday–Sunday CLOSED

Located behind North Dodge Athletic Club

CONTACT

2400 North Dodge Street, Suite B
Iowa City, IA 52245
Call: 319.246.2006
Fax: 319-483-6919
office@teamiowapt.com