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Families First Counseling Services is one of the leading providers of family-based, in-home and in-office counseling and therapy services in Iowa. We are a nationally accredited agency and employ many highly trained and skilled employees. Our staff can help the entire family develop skills to better cope with the daily stressors of everyday life.

  • Initial Referral Form for In Office Therapy Services, BHIS Services, IHH

    * - Indicates required field

  • Service Requested


  • Contact Information

  • Does the referred person have TITLE XIX Number
  • Do you know the type of insurance that will be used
  • (Please submit insurance card; both sides will need to be copied)

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