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Insurance Accepted & Payment Plans
Online Sessions
Browse Providers
- Grinnell Iowa Counselors and Other Mental Health Providers
- Williamsburg Iowa Counselors and Other Mental Health Providers
For Clients
Phone Our Iowa Locations:
- Grinnell 6412361644
- Williamsburg 3196681217

Insurance Accepted & Payment Plans
Online Sessions
Browse Providers
- Grinnell Iowa Counselors and Other Mental Health Providers
- Williamsburg Iowa Counselors and Other Mental Health Providers
For Clients
Phone Our Iowa Locations:
- Grinnell 6412361644
- Williamsburg 3196681217

Forms

NOTE: After you have made your initial appointment, please complete the appropriate online forms by clicking the links below:

STEP 1:

Client Registration Form

STEP 2:

Client Assessment PHQ-9 Form

STEP 3:

Client Assessment Gad 7 Form

STEP 4:

Adult Biopsychosocial History Form

OR

Child Biopsychosocial History Form

Additional Forms (only complete the specific form a provider asks for):

Patient Communication Consent Form

Release Of Information Consent Form

Secure Document Upload

Post Traumatic Stress Disorder PCL-5

Geriatric Depression Scale (GDS)

Credit Card Recurring Payment Authorization Form

Contact Form

Your Name (required)

Phone Number (required)

Best Time To Call

Your Email (required)

Subject

Your Message

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Contact Us

Grinnell counselors

Midwest Counseling
818 4th Avenue
Grinnell, Iowa 50112

Phone: 6412361644
Fax 844-361-1220

Williamsburg counselors

Midwest Counseling
306 W State St., PO Box 313
Williamsburg, Iowa 52361

Phone: 3196681217
Fax 319-668-1220

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