ANXIETY ALLIANCE COUNSELING, LLC
  • Welcome
  • About
  • Anxiety Is
  • Forms
  • Public Speaking
  • Contact
If you have an upcoming appointment, please:
  • Read the Treatment Guidelines & Office Policies, the HIPAA Notice of Privacy Practices, and the Teletherapy Informed Consent. * The treatment consent form asks you to confirm that ​you have read and agree to the statements in these documents.
  • Print and complete the Registration Form, the Adult Intake Questionnaire, and the treatment consent form. We will go over these in the first appointment. 
  • ​If you would like me to contact your primary care physician or any other provider to collaborate on your care, please complete the Exchange of Information form.​

​Thank you for filling out these forms!

HIPAA Notice of Privacy Practices
File Size: 204 kb
File Type: pdf
Download File

Treatment Guidelines and Office Policies
File Size: 84 kb
File Type: pdf
Download File

Teletherapy Guidelines and Consent
File Size: 24 kb
File Type: pdf
Download File

Registration Form
File Size: 89 kb
File Type: pdf
Download File

Adult Treatment Consent Form
File Size: 74 kb
File Type: pdf
Download File

Adult Intake Questionnaire
File Size: 124 kb
File Type: pdf
Download File

Authorization for Release of Information
File Size: 29 kb
File Type: pdf
Download File

Anxiety Alliance Counseling, LLC | Minnetonka, MN | Phone: 612-360-8139  Fax: 952-516-5115  
  • Welcome
  • About
  • Anxiety Is
  • Forms
  • Public Speaking
  • Contact