Due to the coronavirus outbreak, we are providing care through telehealth visits instead of in-office visits. This is for your safety, as well as for the safety of other patients and our staff.
To make an appointment for a virtual visit, please call us at 319-356-6352 or complete our Request an Appointment form. Once your appointment is scheduled, please read these virtual visit instructions.
Once you’ve made your first appointment, there are a few additional forms to complete. To complete the forms, please log into the patient portal. If you’re unable to use the portal for some reason, please complete the forms below and submit them via mail, fax or email.
- Consent for purposes of treatment, payment and healthcare operations
- Billing policies
- Patient History Form
- Patient record of disclosures
- Consent to release information
If at any time you can’t keep your appointment, please notify us at least 24 business hours in advance. We’ll be glad to reschedule your appointment to a time that works better for you. We greatly appreciate your time and consideration and look forward to talking with you.
Medication refill request
Need a refill for a prescription you have from one of our providers? Just fill out this Medication Refill Request Form, and we’ll call it in to your pharmacy. You may also request a refill by phone at 319-356-6352.
We accept most insurance. Please call us at 319-356-6352 to verify whether or not we are participating with a particular insurance company.
Everyone is entitled to confidentiality with respect to his or her private medical information. This is especially important when it comes to the sensitive and personal nature of psychiatric care and counseling. Client privacy is of utmost importance to every member of our team.
- Because we are a privately owned psychiatric practice, we have complete control over our client records. All records are kept securely onsite in our office and cannot be accessed by unauthorized persons.
- We honor your wishes concerning phone calls and other communication and never reveal personal information without your full understanding and written consent.
- Should you ever have a question or concern about confidentiality or the security of your medical information, talk with your doctor or counselor. We want you to feel confident in the care we provide to you and will address any concerns you may have right away.