Unified Therapy Health Services

Adult Clinic

4135 Pennsylvania Avenue

Dubuque, IA 52002
Phone: 563-583-3408

Fax: 563-265-5789

Check out our pediatric clinic!

www.unifiedtherapyservices.com

Office Hours:

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. 
*Requires Signature








The required Unified Therapy Services forms are designed in compliance with patient privacy and confidentiality

guidelines established by the federal government.

Clinic Operations & Guidelines*

Information

Unified Therapy Health Services Adult Clinic  / 4135 Pennsylvania Ave  /  Dubuque, IA 52002  /  Phone: 563-583-3408  /  Fax: 563-583-3415

Patient Resources