• Skip to primary navigation
  • Skip to main content
  • Skip to footer
Real Connections Counseling Horizontal Logo

Real Connections Counseling

Make your best relationship happen here.

  • Home
  • About
  • Services
  • Blog
  • Mulu Moments
  • Events
  • Forms
  • Contact

Forms

We have provided our forms online, for your convenience. You may download, print, and fill out the following forms prior to your counseling visit. Each person will need to complete the Information Paperwork separately, but the disclosure is per couple/family:


New Client(s) Information Paperwork (for all counseling except Marriage Prep counseling)

DOWNLOAD: New Client Information Form

Marriage Prep Information Paperwork (specifically for Pre-marital/Marriage Prep counseling sessions)

DOWNLOAD: Marriage Prep Information Form

Our RCC Disclosure Form

Read our counseling disclosure ahead of time! In this document you will find information about us as counselors, and as a counseling agency.

We will talk through our disclosure with you at your initial session and you can sign it then. Bring your questions to the first session, and we’ll gladly answer them. If you wish, you may download the most current disclosure forms here.

DOWNLOAD General: RCC Confidentiality and Disclosure form

Real Connections Counseling Rectangular Logo

Footer

Real Connections Counseling, LLC

3829 71st Street Suite A,
Urbandale, Iowa 50322
Phone: (515) 635-1805

Medical Disclaimer

Privacy Policy

Terms of Use

Contact & Location

Follow Us

  • Facebook

Copyright © 2020 Real Connections Counseling, LLC • Log in