Patient Forms
You may print these forms and bring to the office, or fax to: 641.394.4819.
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Patient Information
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Consent for Use and Disclosure of Health Information
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Acknowledgement of Receipt of Notice of Privacy Practices
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Insurance and Financial Policy
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*Adobe PDF forms require Adobe Reader. Click the icon to
the left to download, it's free.
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Office Hours
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Monday
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8:00 am - 5:30 pm
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Tuesday
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7:30 am - 5:30 pm
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Wednesday
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7:30 am - 6:00 pm
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Thursday
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7:30 am - 5:30 pm
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Friday
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7:30 am - 4:30 pm
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Welcome New Patients!
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Find out what to expect on your first visit, download patient
forms, and tour our beautiful office. Let's
get started.
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After-Hours EMERGENCY
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If you have an after-hours emergency, you may call the doctors
at:
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Dr. Boeding
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641-394-2046
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Dr. Speltz
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641-394-4688
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Dr. Wernimont
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641-732-2521
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Office Photo Gallery
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