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Mercy
Urbandale Medical Clinic 
6200 Aurora
Avenue
Urbandale, IA 50322-2800
Phone:
515-270-1177
Fax: 515-643-9361
Map:
(Click for map)
If you are new to our clinic,
please complete these forms to print and bring with you:
United States
Immigration
·
The following
physicians are authorized as Civil Surgeons to complete
immigration physicals:
John Tapp, DO
Ron Pick, DO
Kenneth Andersen, DO
Martin Mortens, DO
· Please
bring with you:
Your passport or I94 form
A photo ID
A record of all immunizations or vaccines you have received
Immigration forms.
(Please complete part 1 and then print. You
can get them from
this site:
http://www.uscis.gov/files/form/I- 693.pdf
Canadian Immigration
· John Tapp, DO, is authorized by the Canadian
government to complete Canadian immigration physicals:
o Please bring with
you:
Your passport or I94
form
A photo ID
5 passport sized
pictures
Immigration
forms.
(Please contact the Canadian Immigration Office and
these will be sent to you. This is not a form you can obtain
from our office. It needs to have the seal of the Canadian
government on the form).
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Day
Hours We Are Open
Monday
8:00am - 8:00pm
Tuesday
8:00am - 8:00pm
Wednesday 8:00am - 8:00pm
Thursday
8:00am - 8:00pm
Friday
8:00am - 8:00pm
Saturday
9:00am - 5:00pm
Sunday
9:00am - 1:00pm
FAA Physicals
Our
physician, John Tapp, DO, is authorized by the Federal Aviation
Administration to do FAA physicals.
o
Please arrive
1/2 hour before your scheduled time to complete the FAA
forms and complete or update your forms here at the clinic.
·
School and Sports Physicals
All of our physicians can provide school and sports
physicals.
Please print and bring the correct completed form with you.
Urbandale School
Physical
Urbandale Sports
Physical
Des Moines School Physical
Des Moines Sports Physical
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