Archives: Services

Aesthetic Laser Services

From hair removal to tightsculpting, the GMHC Surgery Department is offering a variety of laser procedures without the downtime of traditional surgery with the addition of the Fontana Dynamic Laser System. Dr. Daniel Mansfield, MD, General Surgeon at GMHC, and Sally Schumann, RN, perform a wide variety of procedures.

These include:

  • Hair Removal
  • Body Tightsculpting
  • 4D Facial Rejuvenation
  • Spider Vein Reduction
  • Acne Scar Reduction
  • Benign Lesion Removal
  • Liplase
  • Smootheye
  • Scar and Stretch Mark Reduction

For more information, or to schedule a free consultation, please call the GMHC Surgery Clinic at 563-252-5536.

“Razors, wax, itching… I haven’t had to deal with any of it in months! Amazing results! Thank you!” – A GRATEFUL PATIENT

Menu of Services

Post-Care Instructions

Pre-Care Instructions

Cornerstone Family Practice

Family medicine. Preventive care. Treatment for short-term illnesses and long-term conditions. A caring partner in your overall health and well-being. As family medicine specialists, we focus on the whole person while treating a wide variety of common illnesses and conditions. Importantly, Cornerstone Family Practice has been recognized as a Patient-Centered Medical Home (PCMH), a model of care that emphasizes care coordination and communication between the patient and their provider/care team.  Cornerstone Family Practice has locations, family doctors and providers in Guttenberg, Garnavillo and Edgewood.

Our services include:

Family Practice providers
  • Routine exams & health screenings
  • School, sports & work physicals
  • Women’s health services
  • Prenatal & postpartum care
  • Newborn care & well-baby exams
  • Pediatric, adult & geriatric medicine
  • Immunizations & flu shots
  • Management of chronic conditions
  • Treatment for minor illness and injuries
  • Orthopedic & sports injuries
  • Minor surgeries
  • Dermatology
  • Stress management/behavioral health
  • Same day appointments

Make an Appointment

(563) 252-2141

(563) 964-2608

(563) 928-6435

More Information about Cornerstone Family Practice

Like our entire family of services at Guttenberg Municipal Hospital & Clinics, Cornerstone Family Practice strives to provide convenient, patient-focused care for your entire family.

Patient-Centered Medical Home (PCMH)

Our recognition as a Patient-Centered Medical Home is not just an honor for us. It means you can be confident of our commitment to a higher quality of patient care, lower costs and improved patient satisfaction. Learn more about our patient-centered, team-based approach to quality care and what it means for you.


Cornerstone Family Practice accepts most area commercial insurances including Medical Associates Health Plans, Medicare and all Iowa Medicaid Managed Care Organizations. Cornerstone Family Practice is approved to provide services under the Veterans Choice Program. Find out more.


Requesting prescription refills is easy with Cornerstone Family Practice’s medication refill line. Call (563) 252-5564 and leave a message with your medication refill information. Call anytime — even when the clinic is not open — and a staff person will process the refill during the next business day.

Meet Our Providers

Hayle Bockenstedt
Hayle Bockenstedt, DNP

Cornerstone Family Practice

Dikkers Michele DO
Michele Dikkers, DO

Cornerstone Family Practice

As women, we take on many different roles throughout our lives. At Guttenberg Municipal Hospital & Clinics, we work to make sure you’re healthy and thriving for every role. We’re here to support you, from your first visit OB/GYN, to beginning your yearly mammograms or taking steps to battle heart disease.

GMHC is proud to help women live longer, healthier lives. We invite you to take a look at our services designed with the special needs of women in mind.

Maternity Care

We provide care for you and your baby before delivery (up to 36 weeks), as well as care after the birth of your new baby. Your Cornerstone Family Practice provider will work with you to coordinate your care and delivery options with a board-certified OB/GYN physician from Medical Associates Group. After delivery, we look forward to caring for your baby, as well as continuing to provide you and your family with a full continuum of care.Call Cornerstone Family Practice at (563) 252-2141 to schedule an appointment with a provider today!


Stay up to date on routine gynecology needs with vaccines and advanced contraceptive services available at Cornerstone Family Practice. Culposcopy and LEEP procedures for cervical dysplasia are also performed locally.

3D Mammography

Take control of your health with a yearly mammogram at GMHC. Better, faster and more comfortable, 3D mammography helps doctors detect breast cancer at its earliest, most treatable stage. Stereotactic and Biopsy services available locally if needed.

Bone Health

At GMHC, we believe it’s important for women to understand their risk for osteoporosis and what can be done to prevent or slow the process of this disease. We offer DEXA bone density scanning—a quick, painless test used to detect osteoporosis and other bone disorders.

Women and Heart Disease

Did you know nearly twice as many women die from heart disease, stroke and cardiovascular diseases than all forms of cancer? GMHC is helping women fight heart disease, with services from diagnostic stress testing to cardio-pulmonary rehab.

Surgical Services

When you need a surgical procedure, your GMHC team is dedicated to easing your fears and providing comfort and support to you and your family every step of the way. Experienced surgeons perform surgical procedures at GMHC.

Physical, Occupational, and Other Therapies in Guttenberg

Rehabilitation and Therapy Services

To help you improve functioning or recover from illness, injury or surgery, we offer therapy and rehabilitation services personalized to your needs and well-being.

Physical Therapy in Guttenberg

Simply put, physical therapy helps you live life on your terms. Recovery from surgery, illness, injury or long-term health problems can be painful and limit your movement for work, play and even simple daily activities. Physical therapy helps relieve pain and can improve strength, flexibility, balance, coordination and/or endurance, restore function and/or prevent disability. Our physical therapists and physical therapy assistants are trained in the latest techniques to reduce pain and increase mobility. You may receive physical therapy services while in the hospital or on an outpatient basis

Occupational Therapy in Guttenberg

Injury, disease or disability can make it hard for people of all ages to perform or return to their daily routines. Older adults may also experience physical and cognitive changes that limit their independence. Occupational therapy is all about increasing independence, especially in activities of daily living — feeding, bathing, dressing, cooking, managing the home and safely using a wheelchair or other adaptive equipment. Our experienced occupational therapists provide individualized treatment programs designed to improve strength, coordination and cognitive and developmental skills.

Speech Therapy

Speech Therapy goes deeper than talk. For example, speech therapists are experts in head and throat anatomy and physiology. They evaluate and treat people of all ages for disorders of speech, language, voice, swallowing and cognitive communication. These difficulties can result from a variety of brain-related conditions or injuries as well as physical problems with voice and swallowing. Our speech therapists also provide evaluations and therapy for children experiencing delayed developmental milestones for speech, language and feeding. Treatment may include physical exercises to strengthen muscles, speech drills to improve clarity and specialized activities to increase receptive and expressive language development. Your Child’s Milestones Guide.

For questions, or to make an appointment, call (563) 252-1121

More Therapy and Rehabilitation Services

In addition to physical, speech and occupational therapy, Guttenberg Municipal Hospital & Clinics offers a range of rehabilitation services in a spacious and welcoming environment. With private treatment rooms and a large, open exercise area, we help patients recover function after surgery, stroke, heart attack, injury or other disabling conditions. Our therapists work together with you and your family, your medical care team and even staff at other facilities to develop a customized treatment plan to restore or improve functioning and well-being.

Outpatient, Specialty & General Surgery in Guttenberg

Wide range of surgical services and procedures

Surgery can be stressful enough without having to travel far from home for common procedures. Even relatively minor specialty procedures like a colonoscopy can interrupt your work and life routines. We offer compassionate surgical care and a team approach including surgeons, anesthesia providers, registered surgical nurses and operating room technicians — all close to the comforts of home. In addition to two spacious operating rooms, GMHC offers deluxe same-day surgery suites for outpatient procedures. Comfortable, state-of-the-art hospital rooms, skilled care for extended stays, and physical therapy are available right here to help you through recovery and rehabilitation.

Surgery team

General Surgery

For most general surgery we partner with our General Surgery Clinic in an environment dedicated to comfort, safety and respect. General surgical procedures include gall bladder removal, hernia repair, bowel procedures, hysterectomy, breast surgery, skin biopsies and endoscopy procedures including colonoscopy and upper gastrointestinal endoscopy. Patient-focused care is coordinated with all team members to bring about the best possible results and ensure appropriate follow-up care after your surgery. 

Minimally Invasive Laparoscopic and Robotic Surgery

Our surgeons perform a range of laparoscopic and robotic-arm assisted procedures. These techniques help reduce the amount of time spent in the hospital and promote quicker recovery. Laparoscopic procedures include appendectomy, cholecystectomy for gallstones and other minimally invasive abdominal procedures. The da Vinci® Robotic Surgical System is a tool that allows the surgeon to perform surgery with easier access, greater precision and control, increased range of motion and an enhanced view. It’s a technological breakthrough that allows minimally invasive treatment for what were once major surgeries.

Specialty Surgery & Other Procedures

At Guttenberg Municipal Hospital and Clinics, you have access to specialty physicians who provide a variety of specialized procedures, including

Meet Our Surgeons

We know surgery can be a very stressful experience. Our surgeons perform a range of procedures at Guttenberg Municipal Hospital & Clinics so you can be close to home, from surgery through recovery.

Our Surgery Clinic is conveniently located on the second floor of the hospital in our Surgery Department. General surgeons at GMHC provide inpatient, outpatient and laparoscopic surgical services. For patient convenience, additional procedures such as cataract removal, podiatry and orthopedic procedures can be performed at GMHC by visiting specialty surgeons.

Meet the General Surgeon

Dr. Daniel Mansfield

Experienced, Compassionate Care

You can rest assured you are in good hands with our team of experienced professionals, including skilled surgeons, anesthesia providers, registered surgical nurses and operating room technicians. We are dedicated to making your surgical experience a successful one and we will make you as comfortable as possible during your stay with us.

In addition to two spacious operating rooms, GMHC offers deluxe same-day surgery suites for outpatient procedures. Comfortable, state-of-the-art hospital rooms, skilled care for extended stays, and physical therapy are available to help you through recovery and rehabilitation.

General Surgery

GMHC partners with our General Surgery Clinic in an environment dedicated to comfort, safety and respect. General surgical procedures include gall bladder removal, hernia repair, bowel procedures, hysterectomy, breast surgery, skin biopsies and endoscopy procedures including colonoscopy and upper GI endoscopy.

Laparoscopic Surgery

Laparoscopic procedures are also performed at GMHC. These minimally invasive surgical techniques reduce the amount of time spent in the hospital and promote quicker recovery. Laparoscopic procedures include appendectomy, cholecystectomy for gallstones, and other minimally invasive abdominal procedures.

Minimally Invasive Robotic Surgery

The da Vinci® Robotic Surgical System is a console that allows the surgeon to perform surgery with easier access, greater precision and control, increased range of motion and an enhanced view. Because of the magnified, high-resolution 3D image of the surgical site, the surgeon is able to make the smallest of incisions – about the diameter of a pencil. The computer translates the surgeon’s hand movements into precise micro-movements, so there is less injury to the surgical site. It’s important to know that a robot is not at the controls. The system cannot act on its own. Instead, the surgeon controls every aspect of the surgery. The da Vinci® System is a technological breakthrough because it offers a minimally-invasive option for procedures that were once considered major surgery. Learn More.

Specialty Surgery and Other Procedures

  • Specialty physicians provide a variety of surgical procedures at GMHC, including:
  • Cataract surgery
  • Bunion surgery
  • Plantar fascia release
  • Heel spur removal
  • Ear, sinus and throat surgery
  • Carpal tunnel release
  • Ganglion removal
  • Knee arthroscopy

GMHC is North East Iowa’s leader in robotic surgery.

You can heal faster and go home sooner when your surgeon uses minimally invasive robotic techniques. Guttenberg Municipal Hospital & Clinics is North East Iowa’s leader in robotic surgeries, where Dr. Daniel Mansfield, MD, utilizes our state of the art daVinci Robot for various abdominal procedures. For these patients, the pinpoint precision of robotic surgery leads to faster recovery times and better overall results.

  • Dedicated Robotic Surgery Team
    Our team has trained with the very best in robotic surgery.  It includes a Certified Registered Nurse Anesthetist, Registered Nurses, and Surgical Technicians
  • Care Closer to Home
    Even if you are not from Guttenberg, Iowa we will do everything possible to make you and your family feel right at home during your stay.
  • Experienced Robotic Surgeons
  • One-on-one Nursing Care
    Our nursing staff will make you feel comfortable by keeping you informed with every step of the preparation, procedure and recovery process.
  • Private, spacious and comfortable rooms for recovery allowing family presence.

Operations performed at Guttenberg Municipal Hospital using robotic surgery include:

  • Hernia repair
  • Hysterectomy (uterus removal) and other gynecological procedures
  • Myomectomy (fibroid removal)
  • Endometriosis procedures
  • Colon resections
  • Cholecystectomy (gall bladder removal)
  • Nissen procedure (procedure to correct acid reflux or GERD)
  • Ileostomy (bowel diversion surgery)

Speech Therapy is one of many therapy and rehabilitation services offered close to home, at GMHC. Appointments are held within the Physical Therapy department on the second floor.

Speech therapy provides an individualized evaluation and treatment for those struggling with speech, language, social communication, cognitive-communication, and swallowing issues. GMHC offers inpatient (acute and skilled) and outpatient services. Difficulties after being diagnosed with a stroke, traumatic brain injury, Parkinson’s, Alzheimer’s, Multiple Sclerosis, swallowing problems, and voice problems all benefit from speech therapy.

Our speech therapists also provide evaluations and ongoing outpatient therapy for children who need help pursuing delayed developmental milestones for speech, language, social skills, and feeding. Treatment may include physical exercises to strengthen muscles, speech drills to improve clarity, and specialized activities to increase receptive and expressive language development. Your Child’s Milestone Guide.

Speech therapy offers the following types of evaluations and treatment:

  • Parkinson’s LSVT LOUD® 
  • Clinical Swallow Evaluation 
  • Video Swallow Study (Modified Barium Swallow Study) 
  • Patient and Family Education 
  • Pediatric Feeding and Swallowing 
  • Stroke and traumatic brain injury 
  • Stuttering 
  • Articulation disorders (difficulties making sounds) 
  • Language disorders (difficulty comprehending language or expressing thoughts) 
  • Aphasia (difficulty finding words) 
  • Voice disorders 
  • Cognitive communications disorders (problem solving) 
  • Memory deficits 
  • Adult Swallowing disorders 
  • Devices and techniques for alternative communication 
  • Your Child’s Milestone Guide

Speech Therapy Certifications: 


LSVT LOUD® (same link above) trains people with Parkinson Disease (PD) to use their voice at a more normal loudness level while speaking at home, work, or in the community. Key to the treatment is helping people “recalibrate” their perceptions so they know how loud or soft they sound to other people and can feel comfortable using a stronger voice at a normal loudness level. It’s an intensive, effective, one-on-one treatment created to help people with PD and other neurological conditions.

Through LSVT LOUD® our speech therapists will address:

  • Improving your vocal loudness
  • Improve your articulation 
  • Improving your speech intelligibly
  • Improving your intonation
  • Improving your confidence with speaking
  • improving neural functioning related to voice and speech

LSVT BIG® is a treatment through the GMHC Physical Therapy department that focuses on training people with Parkinson disease (PD) to use their body more normally. It’s an intensive, effective, one-on-one treatment created to help people with PD and other neurological conditions. Learn more.

Sequential Oral Sensory (S.O.S) Approach to Pediatric Feeding

The Sequential Oral Sensory approach to feeding is an evidence-based program that works with families of individuals who are picky eaters or refusing to eat a specific food consistency due to sensory aversions. Speech and occupational therapists collaborate to develop and teach families strategies including food play to help the individual work through the 32 steps to eating to expand and grow the number of foods the individual is eating consistently. 

This approach follows a sensory hierarchy that requires a child be able to first tolerate the new food, begin to interact, smell, touch, and eventually taste the new food. Therapists work with families to teach them how to implement this program at home to maximize therapy results. 

Frequently Asked Questions about Speech Therapy 

What do I need to bring with me? 

If your provider sent your Therapy Services referral (order) with you, the therapist will need this along with payment information such as your insurance card or worker’s compensation claim number and contact information. 

How should I dress? 

Casual and comfortable. 

What happens during my visit? 

· Arrive 10-15 minutes early to complete paperwork. 

· The therapist will perform your initial evaluation. 

· The therapist will discuss with you: 

  • Your medical history including medications and tests. 
  • Your current problems/complaints. 
  • How your daily activity or function is limited. 
  • Your goals for/with therapy. 

How long will each session last?

Your initial evaluation may take up to 60 minutes. Each follow up visit may take up to 30-45 minutes.

Specialty Clinics in Guttenberg

There is no need to travel far for outstanding specialty care. Guttenberg Municipal Hospital & Clinics has specialty-trained doctors right here, where you need them. Come to GMHC for expertise and compassionate patient-centered care in a comfortable, convenient environment, close to home.

Specialty Clinic Calendar

Learn more about each specific Specialty Clinic offered at GMHC:

Behavioral Health

Dermatology Clinic

Cardiology Clinic

Ear, Nose & Throat (ENT) Clinic

Oncology Clinic

Ophthalmology (Eye) Clinic

Orthopedics Clinic

Pain Clinic

Podiatry Clinic

Sleep Services at GMHC

Not getting enough sleep or not getting the right kind of sleep can affect your health, job performance and relationships. It can even lead to accidents that cause injury or death, as well as play a role in developing numerous chronic diseases. Having a sleep disorder is a serious medical condition.

Fortunately, most sleep disorders can be treated effectively. GMHC Sleep Studies assist in the diagnosis and treatment of sleep disorders, including:

Patient in sleep study
  • Sleep apnea
  • Insomnia
  • Excessive/extreme sleepiness
  • Narcolepsy
  • Sleepwalking/talking
  • Snoring
  • Restless sleep
  • Abnormal movements while asleep

GMHC contracts with Midwest Sleep Services of Waterloo to perform overnight sleep studies. A sleep study is non-invasive and lasts from six to eight hours. It can be performed in the hospital’s private, comfortable sleep lab or in your home. Sleep studies measure brain waves, chest movements, breathing and airflow patterns, heart rates, oxygen levels, snoring, and eye and muscle movement.

A licensed sleep lab technologist conducts the test and a certified sleep study physician reviews the data. Results are sent to your provider for diagnosis and treatment recommendations.

Cornerstone Family Practice providers can also refer patients for a free sleep screening if patients are at risk for sleep disorders.

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