Specifications include, but are not limited to: 1. The Iowa Veterans Home is seeking the services of a qualified and credentialed Bidder to provide licensed chiropractic services at the Iowa Veterans Home (IVH). 1. There is no current chiropractic provider on site. Currently residents are referred to outside providers and transported by IVH. In the last year 9 residents had 52 appointments for these services. 2. An Iowa licensed chiropractic provider must provide professional chiropractic services in a large long-term care facility, based on physicians’ orders. Services must include the examination and treatment of the neuromusculoskeletal system – the bones, nerves, muscles, tendons, an ligaments to helps manage back and neck pain through the use of spinal adjustments and manipulations to maintain good alignment. The Iowa Veterans Home is seeking the services of a qualified and credentialed Bidder to provide licensed Orthopedic services at the Iowa Veterans Home (IVH). 1. 1. There is no current orthopedic provider on site. Currently residents are referred to outside providers and transported by IVH. In the last year 43 residents had 89 appointments for these services. 2. An Iowa licensed Orthopedic provider must provide professional Orthopedic services in a large long-term care facility, based on physicians’ orders. Services must include at the treatment of the musculoskeletal system to include bones, joints, ligaments, tendons, and muscles. The Iowa Veterans Home is seeking the services of a qualified and credentialed Bidder to provide licensed dermatology services at the Iowa Veterans Home (IVH). 1. 1. There is no current dermatologist providing services on site. Currently residents are referred to outside providers and transported by IVH. In the last year 57 residents had 77 appointments for these services. 2. An Iowa licensed dermatology provider must provide professional dermatology services in a large long-term care facility, based on physicians’ orders. Services must include basic dermatology services care, including, but not limited to the following: diagnose skin, hair, nail, and wound issues and problems and develop a treatment plan based on the resident’s identified needs. At this time, the Iowa Veterans Home is the only Iowa facility requesting these services. All residents must be referred by the IVH primary provider or medical director.