Call Helm Counseling at 319-232-5024 to set up an appointment. You may also request an appointment through the client portal on the website. Next, you will complete paperwork (sent through your client portal) prior to your first appointment. Paperwork must be completed before being seen. Paperwork covers areas of: Demographic information, Informed Consent, Statement of Understanding, insurance information and financial obligations. If you have questions you may call the office. 

Initial appointments typically last 60 minutes, while follow-up counseling sessions last 45-50 minutes. Couples/family counseling sessions last around 60 minutes. All therapy sessions are scheduled by making an appointment.

The initial appointment is $275.00. The fee for a 50 minute counseling session is $150.00. The fee for appointments over 60 minutes is $165.00. Fees generally cover individual, family and couple counseling. 

Private Pay is $85.00 for individual and $100.00 for couple.

A $50 fee will be charged for NO-SHOWS and/or same-day cancellations.

Services may be covered by insurance. Each insurance plan may have different levels of mental health coverage. You may need to contact your insurance  plan for further information about mental health coverage. Each insurance plan has different co-pays and deductible amounts. You are responsible for your co-pay and it is due at the time of your counseling session.  If you do not know your copay rate, a $25 fee will be collected at the time of your appointment (charged to the credit card you have on file or cash/check). This will be applied toward your insurance bill.

Fees may vary for other services—report writing, phone contact, etc. Payment is made at the time of service*. Payment is accepted in the form of cash, check, and credit cards. 

No Surprise Act

Starting January 1, 2022 the No Surprise Act was created to give clients upfront pricing of services if they do not have insurance or are self pay. This bill requires that health care providers/facilities give persons an estimate for the cost of their health care before services are agreed upon. You have a right to receive a Good Faith Estimate (GFE) explaining how much your medical care will cost. Since I provide private pay you may request an estimate of costs for a 12 month period. My private pay (per visit) is $85.00 for individuals and $100.00 for couples/families.

For example 12x$85.00=$1020.00; 12x$100=$1200.00

*Your informed-consent will provide you with more information about your payment requirements

Substance Abuse Professional (SAP) Evaluations, may  be referred by your employer or you. Appointments may be scheduled in this office. The cost of the evaluation is $600.00.

Evaluations regarding you/family concerns or other court requests is $150.00

Payment for substance abuse evaluations must be made at the time of the scheduled appointment. Information is not released until the evaluation is deemed paid in full.

Appointments can be made by calling the office at 319-232-5024 or via website appointment request in the client portal. New appointments are usually available in 3-5 days. Routine appointments are more flexible and may be scheduled during your current appointment. This will allow for appointments that better meet your schedule. Appointments may be cancelled within 24 hours in order to avoid a late fee.

Appointments are available in telehealth and in-person formats.

If there is any emergency, please call 911 or go to the nearest hospital emergency room. Emergencies may include suicidal or homicidal ideations. Allen Hospital: 319-235-3544 Mercy One: 319-272-9009

Mental Health Walk-In Clinic: Allen Hospital Entrance 6b, 164 Dale Street, Waterloo. 9:00 am to 4:30 pm. Monday thru Friday, no appointment needed.

Elevate Mobile Crisis Response: Call 1-855-581-8111
                                                         Text 1-855-895-8398

988 Suicide & Crisis Lifeline: Call or Text 988. 
Chat online: https://988lifeline.org/chat/
For TTY Users: Use your preferred relay service or dail 711 then 988

Other Mental Health Resources:
Veterans Crisis Line: Call 988, press 1
                                      Text 838-255
Trans Lifeline: 1-877-565-8860
Trevor Project LGBTQ Crisis Line: Call 1-866-488-7386 or
                                                             Text ‘Start’ to 678-678
Crisis Text Line: Text ‘Hello’  741-741

As part of counseling services, you have the right to complete confidentiality concerning your participation in services. Information may only be disclosed to other individuals (including spouses/parents) or agencies upon specific written consent. There are certain limits to confidentiality: Specific threat to your life, any suspected known cases of child/dependent adult abuse, court ordered subpoena. More information regarding confidentiality may be reviewed in your initial session. 

Health records are kept via electronic. These are the forms you fill out prior to your first session. Third parties do not have access to your records. Records may only be released by a Release of Information or Subpena. Every effort is made to keep your health records secure. If you have furhter quesitions about you health record please ask me. 

You may choose to contact this office/Holly Helm/Helm Counseling in a number of ways. Please be aware that leaving a message on the confidential office number is best. If you text or use email please be advised that electronic messaging may not be returned to you in a timely manner. If there is an emergency do not use either of these forms for communication. Proceed with calling 911 or go to your nearest emergency room. 



As the legal guardian for your minor child, you will sign a consent form for your child to receive mental health services. General information may be disclosed. Please see above for limits to confidentiality. If your adolescent is receiving substance abuse services, a release of information must be signed by your adolescent in order for you to obtain information regarding substance history and recommendations.

I am paneled for mental health counseling services for several medical health insurance plans including: Blue Cross/Blue Shield, United Healthcare, Medicare, Medicaid, Atena, HealthPartners, UMR, Cigna, and others. Please call your provider for mental health coverage information specific to your plan.

**It is important to know the terms of your coverage as you are ultimately reponsible for all costs incurred for services.