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Request an Appointment at Mission Cancer + Blood

New Patients
Fill out the form online or call us to make an appointment.

  • Call 515-282-2921
  • Fill out our online request form
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If you are an existing patient, call and ask for your doctor’s scheduler or you may send a message via MyChart to request an appointment.
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Referring Physicians
Learn more about our referral pathways.
  • Refer to Mission Cancer + Blood

Request a new patient appointment

If you have been diagnosed with cancer or would like a second opinion, we are here to help. Please fill out the form below, and someone will call you within 48 business hours.

Our office is open 8 a.m. to 5 p.m. Monday through Thursday and 8 a.m. to 4 p.m. Friday.

What you’ll need:

  • Your (or the patient’s) full name, contact information, date of birth, and diagnosis
  • Information about previous treatment for your illness
  • Primary medical insurance provider
  • Current Contact Information
  • Patient Information
  • Insurance Information
  • Medical Information
Are you the patient? This field is required.
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