To access your upcoming schedule, secured communication from your physician, and important paperwork and documents, click to the patient portal. If you are new to the clinic, please contact us so that we can get you setup in the system.
These forms will give you an opportunity to provide some basic information about you to our clinicians before the initial meeting.
- OPTION 1: Fill in the information directly on the online pdf form, then print.
- OPTION 2: Download the pdf , then fill in your responses with a pen.
- Bring the printout with you to your initial meeting.
Pay Your Bills
If you would like to pay your bills online, please click on the button below. Please provide your account name provided by Mind Therapy Clinic. This is Paypal payment service. You may need to create an account with Paypal if you don't have an existing one.
Mind Therapy Clinic Forms
There are a few legal forms which we need to have in place to comply with regulations and to to protect you as our patient. Feel free to browse through these and submit one or more if requested by your clinician
- Patient Rights
- Medical Information Usage and Your Access to Usage Information
- New Patient Care Provider Information
- Group Therapy Consent
- Intensive Outpatient Program Payment Agreement
- Leave of Absence Request Form
- Drug and Alcohol Policy
- Behavior Guidelines
- Trauma Screening Questionnaire
- The Mood Order Questionnaire
- Depression, Anxiety Scores Questionnaire