New Client Forms/Referrals can be printed, signed by appropriate parties, and either faxed/emailed. If you have any questions about the paperwork please contact call or email and we will be happy to help you. Below is contact information:

K and K Counseling LLC PLC
4990 Johnson Ave NW Suite 14
Cedar Rapids, IA 52405

Main Office Number: (319) 348-3848
Toll Free: 1-888-988-7659
Fax Number: (319) 318-9214

Email: kandkcounseling.llc@gmail.com

Blank Release of Information

Correctly Filled Out Release of Information

Client Payment/Co Pay

Consent to Treat

Emotional Support Therapy Animals

Financial Responsibility

Intern Consent

Mandatory Reporting

Privacy Practice Reading

Privacy Practice Form

Telehealth Services

Testifying and Subpoena

Therapy Process Consent