CENTER ASSOCIATES
  • Home
  • Make a Payment
  • Paperwork (New & Current Clients)
  • Clinical Team
    • Abby Shannon, MS, LMHC, NCC
    • Alice Shannon, Therapy Dog
    • Angela Krier, MSW, LISW
    • Christina Gonzalez, ARNP
    • Dawna Heil, MS, LMHC
    • Douglas Steenblock, MD
    • Duane Eberly, BSW
    • Emily Clawson, ARNP
    • Erin Hatcher, ARNP
    • James Khile, MHR, LMFT
    • Kimberly Hagen, MSW, LISW
    • Kristin Pikna, MA, TLMHC, NCC
    • Lisa Rock, ARNP
    • Megan Eichmeier, ARNP
    • Megan Steim, MS, TLMHC
    • Michael Bergman, MS
    • Millie Shannon, Therapy Dog
    • Morgan Oliver, MSW, LMSW
    • Nakomis Maher, MSW, LISW
    • Nicolas Calzada, MSW, LISW
    • Paul Daniel, PhD, LMHC
    • Ron Eberline, MS
    • Tyler Determann, MSW, LISW
  • Patient Portal
  • TeleHealth
  • Our Services
  • Integrated Health Services
  • Jail Diversion
  • BHIS & In Home Family Therapy
  • Our History
  • Attendance & Scheduling Policies
  • Privacy Practices
  • Education & Training Center
  • Employment
  • Genoa Pharmacy
  • Contact Us
  • COVID-19 Update
  • Additional Emergency Mental Health Resources
  • Client Feedback
  • Home
  • Make a Payment
  • Paperwork (New & Current Clients)
  • Clinical Team
    • Abby Shannon, MS, LMHC, NCC
    • Alice Shannon, Therapy Dog
    • Angela Krier, MSW, LISW
    • Christina Gonzalez, ARNP
    • Dawna Heil, MS, LMHC
    • Douglas Steenblock, MD
    • Duane Eberly, BSW
    • Emily Clawson, ARNP
    • Erin Hatcher, ARNP
    • James Khile, MHR, LMFT
    • Kimberly Hagen, MSW, LISW
    • Kristin Pikna, MA, TLMHC, NCC
    • Lisa Rock, ARNP
    • Megan Eichmeier, ARNP
    • Megan Steim, MS, TLMHC
    • Michael Bergman, MS
    • Millie Shannon, Therapy Dog
    • Morgan Oliver, MSW, LMSW
    • Nakomis Maher, MSW, LISW
    • Nicolas Calzada, MSW, LISW
    • Paul Daniel, PhD, LMHC
    • Ron Eberline, MS
    • Tyler Determann, MSW, LISW
  • Patient Portal
  • TeleHealth
  • Our Services
  • Integrated Health Services
  • Jail Diversion
  • BHIS & In Home Family Therapy
  • Our History
  • Attendance & Scheduling Policies
  • Privacy Practices
  • Education & Training Center
  • Employment
  • Genoa Pharmacy
  • Contact Us
  • COVID-19 Update
  • Additional Emergency Mental Health Resources
  • Client Feedback

To register as a client at Center Associates, please call 641-752-1585 before filling out any forms below!

​Below you will find our Statement of Understanding, Your Rights and Responsibilities, and Telehealth Consent form for you to sign allowing us to provide services to you as a client/patient.  In addition, there are some Release of Information forms  so we can gather collateral information prior to your appointment.   
Please fill it out and sign at the bottom and SUBMIT. 

​
If you have any questions or problems accessing documents, please call 641-752-1585 or email us at info@centerassoc.com.
Center Associates Brochure (English)
Notice of Privacy Practices
Center Associates Brochure (Spanish)

New & Current 
​
Client Forms
(Adults)

Statement of Understanding
Physician Release
Emergency Contact Release
Emergency Plan & Release
Mental Health Provider or Facility Release
Notice of Privacy Practices Acknowledgement
General Release Form (Not Required)

New & Current
​Client Forms
​
(Children & Adolescent)

Statement of Understanding
Physician Release
Emergency Contact Release
Emergency Plan & Release
Mental Health Provider or Facility Release
Central Rivers AEA Release
School District Release
Notice of Privacy Practices Acknowledgement
General Release Form (Not Required)

MCSD School Based Services Forms
(English & Spanish forms)

Please complete only if your child has been referred for Marshalltown Community School District school-based therapy services for the 2022-2023 school year. 
2022-2023 SBYS Registration & Releases
Four Oaks Release (ONLY for Four Oaks Students)
General Release Form (Not Required)
Vanderbilt Assessment (For Parent/Guardian)
Vanderbilt Assessment (For Teachers ONLY)

Marshalltown Office
Center Associates

3809 South Center St.
​Marshalltown, IA 50158
641-752-1585 (telephone)
​641-752-9665 (fax)

Toledo Office
Center Associates
1309 S Broadway
Toledo, IA 52342
641-484-5234 (telephone)
​641-484-5632 (Fax)