I Need to Schedule or Prepare for an Appointment

To schedule an appointment please call (319) 626-3300 option 2 or use the form below. We look forward to hearing from you.

If you have not already done so, please update your insurance information for 2021 with our office staff. Click here for contact information.

Please note: We respond to appointment requests within 24 hours

New Patients

We make it easy and convenient to come prepared for your first appointment. Download our new patient packet below to print and fill out our required forms.

Download New Patient Packet

New Patient Packet includes:

  • Insurance Form
  • Demographic Form
  • Client Info & Office Policies
  • Consent to Treat a Minor Form
Release of Information

HIPAA Statement

Please read the HIPAA statement and download or print it for your records.

Downloadable/Printable HIPAA Statement

Current Patients

Need to update our records? Download the required forms below and bring them to your next appointment. 

Release of Information

Please bring your current insurance information to your appointment.

Please call us today at (319) 626-3300

If you are unable to keep an appointment for any reason, please call us as soon as possible. Appointments not kept and not cancelled by closing the day before the appointment, will be assessed a “No Show Charge” of $65.00.  After two missed appointments or late cancellations, action may be taken to terminate care. Keeping appointments is an important part of treatment as well as a necessary business practice. We will not charge for late cancellations due to weather.  We require 72 hours for prescription refill requests.