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Client Request Form

Welcome to Statera! If you’re a new or existing client seeking your first appointment with one of our primary care providers, chiropractors, physical therapists, or mental health providers, please complete the form below. For all other services, call us at 563-207-8932 to schedule. After reviewing your information, our providers will recommend the best fit for you and confirm appointment availability. We will contact you within 1-2 business days.​

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Not sure where to start? 

Schedule a free 20-minute consultation.

New Client Request

Address

3375 Lake Ridge Drive

Dubuque, IA  52002

Phone

563-207-8932

Fax/Alternate Fax

563-207-8935

844-758-8846

Social Media

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Select which provider(s) you would like to see. Required
Primary Care Required
How did you hear about Statera? Required

Thanks for submitting!

Phone (563) 207-8932

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