To schedule an appointment, please call our office at 515-255-2224 or click the Request Appointment button below.
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).
New Patient Packet:
Child/Adolescent
New Patient Packet:
Adult Over 18
New Couples
Counseling Packet
Release of Information
Form
*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.