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About Private Client Pre-Qualification Application

This private work is designed for high-achieving individuals who are ready to release anxiety at the nervous-system level—without long-term medication dependence or endless therapy.
Please answer honestly. This application helps determine alignment. 

Get Started

Private Client Pre-Qualification Application

Informed Consent for Coaching Services

Nature of Services

 The Anxiety Freedom Movement provides coaching, education, and wellness-based services focused on nervous system regulation, mindset, personal growth, and anxiety reduction. Coaching is collaborative, goal-oriented, and educational in nature.

Coaching services are not psychotherapy, not medical treatment, and not a substitute for mental health or medical care.

Role Distinction

Although Antoine is a licensed Psychiatric Mental Health Nurse Practitioner (PMHNP-DNP), services offered through the Anxiety Freedom Movement are provided solely in a coaching and wellness capacity unless explicitly stated otherwise in a separate clinical agreement.

Participation in coaching services does not establish a provider–patient relationship.

HIPAA & Privacy Awareness

While coaching services are not subject to HIPAA in the same way as clinical care, your information is treated with professionalism, discretion, and respect. Clients are encouraged not to disclose highly sensitive personal health information unless specifically requested and appropriate. 

Client Responsibility

Coaching is most effective when clients take responsibility for their participation, decisions, and outcomes. Results are not guaranteed and vary by individual. 

Emergency & Crisis Care

Coaching services are not appropriate for crisis situations. If you are experiencing suicidal thoughts, thoughts of harm, or a mental health emergency, contact local emergency services or the Suicide & Crisis Lifeline (988) immediately.

By participating in services, you acknowledge that you understand and accept the scope and limitations of coaching services.

Contact Us

 

We’re here to guide you on your journey to a stronger mindset and personal growth. Whether you have questions or want to connect with a professional, we’d love to hear from you.

 

www.anxietyfreedommovement.com

Suite 3008 A, 2116 Merrick Avenue, Merrick, NY, USA

Phone: + 631-304-2210 Email: Support@anxietyfreedommovement.com Themindsetmastery7@gmail.com

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Terms and Conditions

 

The Anxiety Freedom Movement provides coaching, education, and wellness services. These services are not intended to diagnose, treat, cure, or prevent any medical or psychiatric condition and do not replace individualized medical or mental health care.

Participation in coaching services does not establish a provider–patient relationship. If you are experiencing a mental health emergency, please contact local emergency services or the Suicide & Crisis Lifeline (988).

All information provided is for educational and self-development purposes only.

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