FILES & FORMS

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INFORMATION ON 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 OFFICE PRECAUTIONS 

Prior to your appointment, please review our current COVID-19 precautions and your responsibilities as a patient by following the link below. 

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. Please sign and return the last page. 

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.

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

info@iowafamilycounseling.com

QUESTIONS?

CONTACT US!

409 B Avenue, Kalona, Iowa 52247

Mailing: PO Box 308; Riverside, IA 52327

P: 641-777-2774

F: 319-333-6098

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