It is expected that all clients intend to receive services while physically present in the states of Iowa or Illinois, a compact state that Anne has activated with, or outside the United States in a territory without regulation for counseling services, or where language or other challenges make engaging helpful counseling services difficult. 

For clients who wish to use health insurance to pay for services, Anne expects to meet approximately weekly for at least 2-3 months (provided we both feel the fit is good; you are never obligated beyond the attendance policy). It is important to note that if insurance is to be billed--either directly or through reimbursement--or if FSA or HSA funds will be used, a diagnosis must be assigned to the client, which indicates medically necessary services. This is a requirement of the insurance companies. It is important to be aware that a diagnosis could follow an individual into the future and create challenges in achieving certain goals, such as obtaining health insurance, life insurance, or some employment. Anne strives to assign the least impactful, while still appropriate, diagnosis to clients for the purpose of creating the fewest challenges of this nature in the future. If this concerns you, please bring it up for discussion during your consultation. 

There will be no record of your consultation or of information entered into this form if you do not become a client.

For private pay clients, no diagnosis is required if a superbill is not requested. 

A superbill must be requested in advance of a session, if client has not established they will want to receive superbills at intake or in an earlier session, and is only available for a client who has agreed to and qualifies for a diagnosis. There will be a charge if the counselor is asked to revise paperwork for submission to health insurance based on the counselor's hourly rate in 15 minute increments, beginning with the first minute of each 15 minute segment.

The Center does not accept payment from third parties, other than health insurance plans with whom they are contracted, although there are certain instances where exceptions can be made. Anne does not take new clients for the purposes of assessment (producing a written letter or report for some purpose) exclusively or primarily. She will sometimes do assessments for existing clients on a case-by-case basis, according to her qualifications. Letters for emotional support animals are only offered to existing clients being seen regularly, and there will be a charge for them. Anne does not provide recommendations or support for disability services.

Satir Transformational Systems is also an extremely effective model for Life, Career, Organizational and Leadership/Executive Coaching. Clients who engage Anne's services under a private pay agreement and do not qualify for a diagnosis will be considered coaching clients. It is also understood that coaching is a dynamic process for the benefit of the client and that Anne remains a qualified and licensed mental health counselor even when delivering coaching services. Because of this she will ask some questions in consultation or early sessions about history and current functioning and expects that they will be answered truthfully. If, even after significant work together, she believes a client could reasonably be assigned a diagnosis by healthcare providers, she will share this information when she believes it is in the client's best interest, or in response to the client's direct inquiry.

As mentioned elsewhere, completion of this form, and/or completion of a consultation, do not establish the individual as a client of Anne Lindyberg, LMHC, LCPC (practicing as the Midwest Center for Transformational Change). Emergency services are not provided by this practice. If you are feeling unsafe, as though you or another might come to harm through any means you are or might be unable to prevent, you are directed to immediately contact your primary care provider, mental health support by calling 988, law enforcement in your area using 911 services, Foundations 2 emergency services in Iowa at 800-332-4224, text services at 741741, or by contacting the resources at https://suicidepreventionlifeline.org which provides online chat services as well as services for the deaf and hard of hearing.

If office appointments are preferred, this can be accommodated most of the time. Anne sees clients in the office in Cedar Rapids, Iowa 80% of the time.

The Center offers all clients the chance to convert their office appointments to telehealth, even at the last minute, for any reason at all. This can be helpful when it comes to avoiding a late cancellation fee due to illness, and is intended to benefit the client as much as the practice. Telehealth appointments can be conducted when the client is ill, even from their bedroom and bed. Given the nature of the somatic (body-based) interventions Anne can offer, frequently such an appointment will make use of an illness, leaving a client feeling emotionally more fit upon recovery, in an enduring way.

Weather emergencies also occur, and sometimes Anne might be ill or traveling, and inform clients that their appointments will need to be converted to telehealth. Telehealth appointments due to travel are generally kept to 4-8 weeks per year. At this time, clients are not required to schedule telehealth appointments when Anne's travel would require it. However, it is important to note that if you do not, you may experience an interruption in their treatment. If this situation would create undue strain or difficulty for you, Anne would not be the best choice for a therapist.

Telehealth appointments are conducted using HIPAA compliant Zoom, or occasionally, telephone. Skeptics have been surprised at how effective they can be. Information on how to prepare can be found in this Medium article on preparing for telehealth. (if you run up against the paywall, use this link.)