FILES & FORMS
Click to Download
This document describes your risks and benefits to tele-therapy. Please review carefully prior to your first tele-therapy visit.
GETTING STARTED WITH TELE-THERAPY
This guide includes basic tips and instructions for how to join a video session as well as some FAQs to make your tele-therapy sessions successful.
COVID-19 INFORMED CONSENT
PRECAUTIONS & RESPONSIBILITIES
Prior to your appointment, please review our current COVID-19 precautions and your responsibilities as a patient by following the link below.
Please sign and return the last page.
COVID-19 INFORMED CONSENT ACKNOWLEDGEMENT & AGREEMENT
This document acknowledges that you have received and understand Iowa Family Counseling's COVID-19 precautions, as well as your rights, and responsibilities as a patient.
NOTICE OF PRIVACY PRACTICES
This notice describes how medical information about you may be used and disclosed, and how you can get access to this information. Please review it carefully.
TELE-THERAPY INFORMED CONSENT
CLIENT RIGHTS & RESPONSIBILITIES
This document describes your rights and responsibilities as a client of Iowa Family Counseling. Please review this information and let us know if you have any questions.
PROVIDER REFERRAL FORM
Please fill out this form and fax or email to Iowa Family Counseling to refer a client for services.
Fax: 319-333-6098
