Register

Registration is only required if you do not have a username. Please check your spam & junk mail folders to ensure you have not already received an email with a username and password. If you already have a username log in here

Each account must have a unique email address associated with it. Please contact us if you need multiple accounts with the same email address (i.e. related family members).

I use Mentalyc, an AI-powered platform that helps create high-quality, HIPAA-compliant notes more efficiently. To use it, sessions must be recorded; recordings are immediately transcribed, encrypted, and then deleted. Your consent is required. If you're comfortable, please review and sign the Mentalyc Informed Consent. This is optional—if you prefer not to be recorded, I will take notes manually during our sessions.

Client Information

/ Middle Initial

( optional )
 
( Must be at least 21 yearsz old )
( MM-DD-YYYY )






( for Text Message Reminders )

Bill To Contact

/ Middle Initial







Emergency Contact

First Name
Last Name
Phone
Mobile
Relation
Email
Street Address
City
State
ZIP Code

Log in Details

( If client is a minor, the legal guardian must enter their email address below. )



Between 8 and 40 letters and numbers

Challenge Questions

( These will be used to retrieve your password. Answers must be between 4 and 30 characters, cannot contain any spaces. )




( If you feel you must write down your questions in order to remember them, make sure to keep it in a safe place. )