New Patient Appointment Request Form

If you are a new patient, use the form below to request an appointment with Genesis Health Group, Davenport Pediatrics.

If you are an existing patient, please call 563-421-0010 or login or create a My Genesis account to request an appointment.

Please note that this request for is for New Patients only. 

My Genesis


MyGenesis is a free and simple way to take control of your health care online.

  • View your health records
  • Manage your appointments
  • Message your provider
  • Pre-register for your hospital stay

Sign up today