Patient Forms
Your therapist or our office manager may ask you to fill out one or more of the forms below and bring with you to your appointment. You may also fax forms to us at: (651) 493-9335. If you have any questions, please email us at admin@aheartt.com.
Release of information and telehealth forms
- Authorization to Release & Disclose Information
- Telemental Health Therapy Policy and Informed Consent
Please be mindful of sending confidential information via email. We encourage you to call us at (651) 493-9335 if you have questions or have any issues with the forms on this page.

Locations
Arden Hills
8 Pine Tree Drive, Suite 250
Arden Hills, MN 55112
White Bear Lake
4505 White Bear Pkwy, Suite 1500
White Bear Lake, MN 55110
Contact Us
Call
(651) 493-8150
Fax
(651) 493-9335
admin@aheartt.com