In order to keep your clinic appointment as close to on time as possible, you may prepare our required paperwork in advance. Please click below to open a new window and print a copy of each of the forms listed. Fill out each form and bring them with you to your next clinic visit. Also, remember to bring a copy of your current insurance card with you.

IOC Patient Information Form

IOC Alternative Communication Form

IOC Patient History Form

IOC Financial Policy

IOC Privacy Notice



 

Locations

Mercy Medical Center
411 Laurel Street
Suite 3300
Des Moines, IA 50314
515-247-8400


Open MRI, Mercy Campus
1040 5th Avenue
Des Moines, IA 50314
515-282-5288


Mercy West Medical Center
1601 N.W. 114th Street
Suite 136
Clive, IA 50325
515-222-0222

Ankeny Office
309 N. Ankeny Blvd.
Ankeny, IA 50021
515-964-9660


Methodist Medical Center
1221 Pleasant Street
Suite 590
Des Moines, IA 50309
515-243-8660


Pella Regional Health Center
404 Jefferson Street
Suite L122b
Pella, IA 50219
641-621-1390

Trinity Regional Medical  Center
804 Kenyon Road
Suite 320
Physicians Office Building
Ft. Dodge, IA 50501
515-574-8333


Mercy Terrace Hill Ambulatory Surgery Center
3200 Grand Avenue
9th Floor
Des Moines, IA 50312
515-271-1735
 

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