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Preregister Online Floyd Valley Clinics

Complete the preregistration form on this page before your Floyd Valley Healthcare clinic visit.

If you have any questions, please call 712-546-3602 between the hours of 8:00 am – 5:00 p.m., Monday – Friday.

Patient Pre-Registration Form - Floyd Valley Clinics

For your convenience, the patient registration form and/or insurance information that will be needed for your upcoming visit may be completed online and submitted to our office via a secure website. Completing the forms online will save you time when you arrive at the office for your appointment.


Again, this information will be sent to us securely and we have taken all reasonable steps to protect the information you are sharing with us.


If you have any questions, please call 712-546-3602 between the hours of 8:00 am – 5:00 p.m., Monday – Friday.

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Avera is a health ministry rooted in the Gospel. Our mission is to make a positive impact in the lives and health of persons and communities by providing quality services guided by Christian values.

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