This online contact form is provided as a convenience. Any contact with Anna's Alcove LLC or its representatives via this form is optional and does not constitute a client-therapist relationship. Regardless of our attempts to keep your information secure, please remember that there are inherent risks to electronic communication and we cannot guarantee that such communication won’t be lost, delayed, intercepted, corrupted or otherwise altered, rendered incomplete, or fail to be delivered. Therefore, if you choose to use this form, you are authorizing Anna's Alcove and its representatives to communicate electronically directly with you about what may be your protected health information and are assuming all responsibility and liability for any breach of confidentiality. By clicking "Yes, I want to submit this form," you are agreeing to fully release and hold harmless Anna's Alcove LLC and its representatives from and against any and all claims or liability of whatsoever kind or nature arising out of or in connection with such information.
