Contact Us

To get started, call us at 763-544-1006, or fill out the form below!

We look forward to helping you and your family toward healing, health and happiness.

To access your secure client portal account and make a payment, click here. If you do not have a DHA client portal account and would like to make online payments, please contact your therapist, or call us at 763-544-1006

Pay My Bill

To get started with a therapist, fill out this HIPAA secure form below.

We use this information to pair you with the best available therapist to fit your needs.

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CLIENT INFORMATION

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Gender Identity
Race/Ethnicity
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Is it okay to send text message appointment reminders to this phone number?
Is this the primary contact phone number?
Home Address*

GUARDIAN INFORMATION IF CLIENT IS A MINOR

Name
Is it okay to leave a voice mail at this phone number if you are not able to answer?
Is it okay to send text message appointment reminders to this phone number?
Is this the primary contact phone number?

Name
Is it okay to leave a voice mail at this phone number if you are not able to answer?
Is it okay to send text message appointment reminders to this phone number?
Is this the primary contact phone number?
How do you prefer we contact you?*

INSURANCE INFORMATION

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SERVICE PREFERENCES

Location*
Days and time that work best for you, check all that apply

Golden Valley

8401 Wayzata Blvd, Suite 150, Golden Valley, MN 55426

Phone 763-544-1006
Fax 763-544-1008

Chaska

1107 Hazeltine Blvd, Suite 121, Chaska, MN 55318

Phone 952-361-3360
Fax 952-513-7968