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To schedule an appointment, please choose one of the following options. Once we receive the completed form and copy of your insurance card(s), we will call you to schedule an appointment:

1. Easy Fillable Form
Complete the online form and upload your insurance card(s). They will be sent directly to us through a HIPPA compliant system.

2. Print Packet
Print the form and with a copy of your insurance card(s), send them to us by fax (515-255-2228) or mail (3737 Woodland Ave., Suite 601, West Des Moines, Iowa, 50266). 

3. In-Person
Visit our office during business hours to complete the form and schedule your appointment (please call ahead to ensure staff availability).

*Please mail or bring the Credit Card Agreement form to your next appointment. We do not recommend emailing as it could be unsecured. Thank you.

© 2025 by Counseling Associates of Central Iowa, PC

3737 Woodland Ave.

Suite 601

West Des Moines, IA 50266

515-255-2224

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