New Patients

If you have been seen previously at Alli Center, do not use this form. You may call us at 319-804-9312, email us at, or send us a secure message through our client portal.

Note: By emailing us, you are giving your consent for a response by email, understanding that email may not be encrypted and even if encrypted, email poses security risks that threaten confidentiality (i.e., other people reading your messages, hacking and email pirating, lost or stolen devices). If you would prefer a response in another format (telephone, voice mail, FAX, or postal service), please indicate your preference by contacting us by any of these other methods.