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Adventures of the Heart & Mind

(951) 541-1898

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    • Home
    • About
      • About AHM
      • AHM Services
      • Our Staff
      • Alba Hernandez
      • Laila Fox
      • Lauren Reminger
      • Fees & Pricing
      • What to Expect
      • Teletherapy
      • Client Forms
      • Reviews
      • FAQ's
    • Contact Us
    • Resources
      • Resource Overview
      • Emergency Resources
      • Learn About Therapy
      • CA Resources By County
      • Other Helpful Resources
      • Supplemental Resources
      • Music & Meditations
      • Consejería en español
      • Financial Assistance
      • Blog
    • Book Now

(951) 541-1898

Adventures of the Heart & Mind

Signed in as:

filler@godaddy.com

  • Home
  • About
    • About AHM
    • AHM Services
    • Our Staff
    • Alba Hernandez
    • Laila Fox
    • Lauren Reminger
    • Fees & Pricing
    • What to Expect
    • Teletherapy
    • Client Forms
    • Reviews
    • FAQ's
  • Contact Us
  • Resources
    • Resource Overview
    • Emergency Resources
    • Learn About Therapy
    • CA Resources By County
    • Other Helpful Resources
    • Supplemental Resources
    • Music & Meditations
    • Consejería en español
    • Financial Assistance
    • Blog
  • Book Now

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CLIENT FORMS

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Required Intake Documents

Please make sure to review and sign these forms at least 24 hours prior to your first appointment. Para formularios y documentos de admisión en español, haga clic aquí.


Practice Policies


Privacy Practices


Consent For Treatment Via Telehealth


In Case Of Emergency


Informed Consent: Lauren Reminger


Informed Consent: Alba Hernandez


Billing Forms

It is our policy to have a credit card on file. Your card will automatically be charged at the time of service.


Payment Information & Authorization

Good Faith Estimate For Health Care Items & Services

To increase transparency in healthcare billing as required by the “No Surprises Act”, effective January 1, 2022.


Good Faith Estimate For Health Care Items & Services: Lauren Reminger


Good Faith Estimate For Health Care Items & Services: Alba Hernandez


Release of Information

Please complete, sign and return this form if you would like to authorize the release of Personal Health Information.


Authorization For Disclosure of Health Information

Other Consent Forms


Consent For Telehealth Consultation


Consent For EMDR Treatment


Consent For Observation


Consent For Treatment Of A Minor


Reduced Fee Documents

Reduced Fee Application



Helpful Information

Getting Started With Teletherapy

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DISCLAIMER: IF YOU ARE EXPERIENCING A MENTAL HEALTH EMERGENCY, CALL 911 OR VISIT YOUR LOCAL EMERGENCY ROOM.


ALL INFORMATION, RESOURCES, WRITINGS, BLOG POSTS AND MATERIAL OFFERED/PROVIDED ON THIS SITE AND ASSOCIATED SOCIAL MEDIA PAGES ARE NOT INTENDED TO BE, ACT AS A REPLACEMENT FOR THERAPY, MENTAL HEALTH SERVICES OR ADVICE PSYCHOLOGICAL/MEDICAL. IT DOES NOT CONSTITUTE A PROVIDER/PATIENT RELATIONSHIP. FOR QUESTIONS, SUPPORT AND/OR HELP REGARDING MENTAL HEALTH AND MEDICAL NEEDS, PLEASE CONSULT DIRECTLY WITH A MENTAL HEALTH PROVIDER. THE AHM WEBSITE PROVIDES GENERAL INFORMATION WHICH IS CLAIMED, BUT NOT WARRANTED, TO BE CORRECT AND UP-TO-DATE. AHM ASSUMES NO RESPONSIBILITY FOR ACTIONS OR NON-ACTIONS TAKEN BY PERSONS WHO HAVE VISITED THIS SITE, AND NO ONE SHALL BE ENTITLED TO A CLAIM FOR INJURIOUS RELIANCE ON ANY INFORMATION PROVIDED OR EXPRESSED.

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