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Appointments

If you feel you have been infected with Coronavirus, please call your physician's office first before coming to The Iowa Clinic.

Cost Estimator

Would you like to know how much a visit or procedure will cost? Fill out a quick form and we'll get the answers to you.

All fields marked with * are required.

First Name *

Middle Name

Last Name *

Address *

City *

State *

Zip *

Email *

Phone *

Date of Birth *

Do you want to use your health insurance to help pay for this? * YesNo

Primary Insurance Name *

Primary Insurance Policy Number *

Secondary Insurance Name

Secondary Insurance Policy Number

Description of Procedure or Visit *

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