Client Resources for Your Convenience

Welcome to the Form page of Family Psychology Associates providing service in Cedar Rapids, IA since 1994. We understand the importance of convenience and accessibility when accessing client resources. To assist you in your journey towards improved mental health, we provide a variety of downloadable PDF forms that you may find helpful.

Our Standard New Client Paperwork

Adult
Please fill out all 3 of these forms.
1. Medical Social History Form
2. Office Policy
3. Demographic Sheet
Veterans Only

Medical Social History Form -Veterans only
Adolescents 12-18 Years
Please fill out all 3 of these forms.
1. Adolescent Social History form
2. Office Policy
3. Demographic Sheet
Children 11 Years and Under
Please fill out all 3 of these forms.
1. Child Social History form
2. Office Policy
3. Demographic Sheet

Additional Forms When Requested

Feel free to download these PDF forms and utilize them as needed. We hope they provide valuable resources and support on your journey towards improved well-being.

If you have any questions or need further assistance, please do not hesitate to contact our friendly team. We are here to help.

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Contact Information

Phone: (319) 378-1199

Fax: (319) 378-7497

Email: office@familypsychologyassoc.com

Address: 1221 Center Point Road Northeast Cedar Rapids, Iowa 52402

Business Hours

Mon - Thu: 8:00 am - 8:00 pm
Friday: 8:00 am - 4:00 pm
Sat - Sun: Closed

Client Resources for Your Convenience

Our Standard New Client Paperwork

Adult

Adolescents 12-18 Years

Children 11 Years and Under

Additional Forms When Requested

Release of Information Form

Substance Abuse Forms

Psychological Symptoms

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Contact Information