Refine Search

2022 Personal Payment History

Thank you for your interest in contacting Business Services. If you need an end of year statement of your payments for tax purposes, please use this form below.

Upon receiving your request, our Business Services Department will mail it within 7 business days of the request. If we have any additional questions, we will call you to seek additional information.

If you have billing questions, balance requests, payment plans, statement questions, online payment questions, financial assistance, insurance claim questions or a change of address, please use our standard business services form.

PLEASE NOTE: Email communication to and from McFarland Clinic PC is not encrypted when using the form below. If you would prefer a more secure option, please use one of the following options.

Communicate Online

If you want to communicate securely about this online, please use your MyChart account.

Call Us

515-239-4598

Send us a letter

If contacting us by mail, provide your account name and number.
Send to:
McFarland Clinic PC
PO Box 3014
Ames, IA 50010

* Indicates a required field

First Name:

Last Name:

Account Number:

Daytime Phone:

Format: xxx-xxx-xxxx

Extension (if applicable):

E-mail:

A confirmation email will be sent to the address entered here.

Confirm E-mail:

This needs to match the value of the previous field.

Street Address:

City:

State:

Zip Code:

Comments or Questions:

Approval (Required):

Yes, I approve sending this via email. I understand this message will not be encrypted. I also understand my medical information may be reviewed.