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Now located in Arden Hills and White Bear Lake!

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Alliance For Healing

Alliance for Healing

Counseling & Therapy in Twin Cities area

  • Providers
  • Services & specialties
    • Individual therapy
    • Trauma therapies
    • Neurofeedback
    • Sexual addiction
    • Infidelity & betrayal
    • Anxiety, depression & stress therapies
    • Couples therapy
    • Family therapy
    • LGBTQ+
  • Resources
    • Blog
    • Careers
    • Patient feedback
    • FAQs
    • Patient forms
    • Workshops and seminars
  • Products
  • Contact Us
Patient Portal
Request Appointment
  • Providers
  • Services & specialties
    • Couples therapy
    • Trauma therapies
    • Family therapy
    • Workshops and seminars
    • Individual therapy
    • Neurofeedback
    • Premarital counseling
    • Youth therapy
  • Resources
    • Blog
    • Careers
    • Patient feedback
    • FAQs
    • Patient forms
  • Products
  • Contact Us
  • Anxiety & depression
  • Grief & loss
  • Infidelity & betrayal
  • LGBTQ+
  • PTSD, trauma & attachment disorders
  • Sexual addiction
  • Stress management

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.

(651) 493-8150 Phone

(651) 493-9335 Fax

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AAMFT Clinical Fellow
IITAP
SASH Certified Distinguished Sex Therapist

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