IDEC
Complete and return the form below. Your office will be contacted to schedule an appointment within two business days. For additional information, call (515) 643-5104.

• IDEC referral form (PDF)*

Diabetes Education Center
Complete and return the form below. Our office will contact the patient to schedule education within three business days. For additional information, call (515) 643-4895

• Diabetes Education Center referral form (PDF)*
• Diabetes Management Assessment form (PDF)*
• Nutrition Assessment form (PDF)*