Registration Process Instructions
Registration Process Instructions
Embedded Files
Right-Click on this Client Portal link and select "Open link in a new tab" or "Open in a new window" so that can view these instructions while creating your account.
Click the "Register as a new client" button on the Client Portal window.
(Note: In the future you may use the "Client Portal" menu bar button to update your account, make a payment, or schedule an appointment.
Enter Name, Date of Birth, and Email Address, and click "Continue".
Confirmation Screen appears
To activate your account and setup your profile, click the "visit our site" link in the received email.
Enter your birthdate and press "Continue" Button
Create Username and Password.
Note: You will use these credentials for future visits using the above "Client Portal" menu button.
You will be able to reset your password should you ever forget
On the form, click the labels boxed in red to complete the following tasks
On the form, click the labels boxed in red to complete the following tasks
1. "COMPLETE YOUR BIOGRAPHY" (Clicking on the Orange Section headers will Expand/Collapse the sections for you to complete. Click the blue "Save" button located at the bottom right hand corner of the screen to save your entries. )
B. "My Docs & Forms" (There may a 10 second delay before forms appear on the screen)
(To Sign the Documents, type your legal name in the field below the form and then click the "Sign Document" button on bottom right of screen.
1) Electronically Sign the "Authorization for Electronic Communication"
2) Electronically Sign the "Informed Consent Service Agreement"
3) Optional: Download the "Modify Authorization for Electronic Communication" form, complete, sign with pen and bring to the first session.
4) Electronically Sign the "Notice of Privacy Practices"
5) View the "Professional Disclosure Statement and Biography" form.
C. "My Insurance"
D. Schedule New Appointment (Text me at 336.991.6620 if this is not functioning correctly)
"COMPLETE YOUR BIOGRAPHY"
Clicking the "Expand All Sections" or the Orange Section headers will Expand/Collapse the section.
IMPORTANT: You must click the blue "Save" button located at the bottom right hand corner of the screen to save your information.
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