Please download the appropriate form and complete it with black or blue ink.
You may email it back to us at admin@aheartt.com, or fax it to us at 651-493-9335.
Download the Neurofeedback Assessment form and fill out the symptoms you are experiencing following your session. Each symptom you experience, you will want to rate them from 1-10 with 10 being the worst.
Symptom Tracking for NFB (pdf)
DownloadAlliance for Healing
4505 White Bear Pkwy, Suite 1500, White Bear Lake, MN 55110, US
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Last Updated 03/2022 | Fax: (651) 493-9335
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