Unified Therapy Health Services
4135 Pennsylvania Avenue
Dubuque, IA 52002
Check out our pediatric clinic!
Mon - Thurs: 7:00 am 6:00 pm
Fri: 7:00 am - 2:00 pm
New Patient & Clinic Forms
The staff at Unified Therapy Services would like to take this opportunity to welcome you to our clinic!
Below you will find various forms. In completing these forms, you will assist us by providing important information the staff will utilize for maximum treatment results. Either drop them off prior to the scheduled evaluation appointment or bring them with you at that time.
The required Unified Therapy Services forms are designed in compliance with patient privacy and confidentiality
guidelines established by the federal government.
Clinic Operations & Guidelines*
Unified Therapy Health Services Adult Clinic / 4135 Pennsylvania Ave / Dubuque, IA 52002 / Phone: 563-583-3408 / Fax: 563-583-3415