Client Paperwork

1-515-225-2015

 West Des Moines, Iowa


Confidential Client Information Sheet(pdf)


HIPAA Agreement(pdf)


Release of Info(pdf)



In order to view and print the above PDF forms, you will need to download the free Acrobat Reader.


Please print the Client Information Sheet and HIPAA forms, fill out and bring to your initial visit along with your insurance card. If you do not have the opportunity to print and fill out prior to your visit, please plan to arrive 10-15 minutes prior to your visit to fill out the appropriate information prior to your first session.