Patient Forms

Patient Forms

In order to save time at your first appointment, click on a link below to download the appropriate patient packet. Print out the packet, complete the information and bring it with you when you come for your first appointment.


Compass Clinical Associates new patient paperwork – Download [PDF – 579KB]

Compass accepts new client paperwork in several ways –

1. Contact our office to have intake paperwork sent to you via Adobe e-sign.
2. Download the form on the website, complete all the information and then save filled form on your computer locally. You are then able to email it to our office by sending it to hannah@ccaiowa.com


Authorization for release of medical information – Download [PDF – 98kb]


Telehealth Authorization – Telehealth Auth COVID-19


Compass Initial Medication – Compass Initial Medication Report



Everest Institute new patient paperwork – Download [PDF – 20MB]

Everest Institute Telehealth Authorization – Everest Institute Telehealth Auth COVID-19

Everest Institute Telehealth Release of Medical Record Request – Everest Institute Medical Information Release Form


Why Choose Compass Clinical Associates?

 

Extensive Clinical Experience

At Compass Clinical Associates we are committed to the highest level of full-service mental health care to all our patients, which is unmatched in our industry.

 

Personalized Treatment Plans

We are a well-staffed treatment center offering a greater than 1:1 client to staff ratio. We believe that client centered individual care is at the core of successful recovery.

 

State of the Art Facility

At Compass, we realize that in order to effectively treat mental health issues and illnesses, we must provide a safe, comfortable, and pleasant environment.