Below are the forms to print and fill out and

bring with you to your first appointment.  

Intake Packet- Adolescent
Intake Packet- Adult
Teletherapy Consent

Contact Information:

1930 St Andrews Court NE

Cedar Rapids, IA 52402

www.connectionsfamilytherapy.com

keri@connectionsfamilytherapy.com

319-431-5498

Office Hours:

Monday - 8:30 - 6:30

Tuesday/Wednesday-

8:30 - 3:30

Thursday- 9:00-2:00

NEW CLIENTS- Please include the name of your health insurance company in your email or voicemail.

Please call or email directly at this time.

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