Northern Iowa Therapy
217 East Bremer Ave
Waverly, IA 50677
319.352.1234
fax: 319.352.1895

Multi-Sites in NE Iowa
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Centralized Scheduling

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Patient Forms

The link below will provide you with our patient forms. You can print these out and complete them before you come in for your first visit.

Patient Forms

If you are a pediatric or Medicare patient, you should also print out the appropriate form below.

Pediatric Patient Form

Medicare Patient Form

The link below is to our privacy practices.

1091 Notice of Privacy Practice Policy


[Printable Version]
NI Therapy Employees
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