To save you some time please download, fill out, and bring these forms to your first appointment.
If you are unable to print these forms, you can contact us at 319-378-1199 and we can email you forms that you can email back. (no printing)
Click the appropriate group below:
Our Standard New Client Paperwork
Additional Forms When Requested
Required signature for anyone visiting in the office.
If you would like to coordinate care with another provider (for example; your psychiatrist, primary care physician, your child’s school, etc.), print and complete our release of information form.
If for any reason you lose connection during your session time, your counselor will call you. You will not need to call the office.