Hello, and thank you for your interest in services with the Midwest Center for Transformational Change! We at the Center are excited to get to know you, and see whether we might be a fit for each other in our cocreative journey to support your health and becoming. If you have not yet, it is recommended that you review our website as a means of determining whether the services we offer would be a good fit for you: https://MWCFTC.com
First and foremost: the Center does not provide emergency services at this time to any except established clients. If you are feeling unsafe in any way, please do not wait. This form is not for emergencies, and this practice does not provide emergency services for the public.
Some possible resources are:
(1) Call your Primary Care Provider's (doctor, nurse practitioner, PCP) office,
(2) Call 988 for a mental health emergency (US only),
(3) Call 911 to summon law enforcement (US only),
(4) Text 741741 for crisis text chat,
(5) In Iowa, call Foundations 2 to talk to a crisis counselor at 800-332-4224,
(7) Go to the emergency department of your local hospital.
This form is informational in nature, and is the first step to arranging services at the Midwest Center for Transformational Change https://MWCFTC.com
, a counseling practice based out of Cedar Rapids, Iowa, US. The founder, Anne Lindyberg (she/her, they/them), is independently licensed to provide counseling services to individuals in the states of Iowa and Illinois. Completing this form is required to schedule a consultation. Completing this form does not establish you as a client.
Entries in this form are purged monthly for individuals who do not immediately begin services.
Scheduling a consultation is a two-step process: first
, complete the form. And second
, use the link at the bottom of the form to schedule a consultation. Entries in the form are not reviewed without a scheduled consultation appointment and will be purged. Please use the same email in this form and to schedule your consultation.
Entries on this form are stored directly in the practice's HIPAA-compliant Google Workforce account.
The Center typically takes 2 new clients per month. This is an average. At this time, all services are provided by Anne.
The Center's business hours are Tuesday through Saturday, by appointment only. At present, Anne schedules client appointments on Tuesdays, Wednesdays, Thursdays (appointments available from 9am-noon, 4-7pm) and Saturdays (9am-4pm). For most (80%) appointment slots, the client may choose an office appointment or telehealth. Thursday morning and noon appointments are conducted by telehealth only. HIPAA compliant Zoom is used for telehealth.
Engaging support for your healing transformation is a process, as much as the transformation is (video on the Satir Process of Transformational Change
illustrates this well). While you may experience some challenges, and even experience disappointment in how the process of engaging services unfolds, it is designed to work well enough to ensure safety at every stage. If it does not come to pass that services can be provided the first time you reach out, it is possible that these challenges or barriers might be resolved in the future. You are encouraged to inquire back through email, and if you have specific questions about what is preventing services from being established at this time, or you would like a referral to a practitioner that provides similar services, Anne is willing to share suggestions and resources. At all times, the Center intends to treat you as the unique individual you are, with the kindness and respect we all deserve.
If it has been determined from the information provided that the practice is unable to offer services to you at this time and cannot offer a consultation appointment, general recommendations will be offered. If Anne can offer a specific recommendation, she will be happy to do so, although this is not always possible. Generally speaking, larger practices that are affiliated with hospitals and train students are good places to receive services in short order, using insurance, or for free or low cost.
That said, let's get started. Please complete this form to the best of your ability. It is necessary in order to schedule a consultation. A link to schedule the consultation will be provided at the end of the form. Your consultation appointment will be confirmed after this form is reviewed, if Anne believes she can offer you an appointment and be of appropriate support. There is no one question on this form the answer to which would automatically disqualify a person from receiving services.
At this time, only Anne reviews these forms. All information in them is kept confidential. Please answer all questions completely and honestly, without too much detail.