Iowa Masonic Health Facilities

Health Center Forms

Thank you for considering the Iowa Masonic Health Facilities Health Center.  

Once your application forms have been received, you will be contacted by the Admissions Coordinator to set up an appointment for a tour and interview.  At the time of the interview, additional informational materials will be provided. Once a decision has been made to reserve a room, additional information will be gathered and supplemental forms will be completed.

If you have any questions about the application process, please contact the Admissions Coordinator at 563-359-9171. Please send your Admission Forms to:

 Iowa Masonic Health Facilities

 Admissions Coordinator

 2500 Grant Street

 P.O. Box 70 

 Bettendorf, Iowa   52722-0002

 Marsha.Miller@iowamasonichealth.org

  IMHF Application for Residency 

  IMHF Statement of Income

  IMHF Health Center Physician Report

 NEED NOT BE AFFILIATED WITH ANY MASONIC LODGE