Client Forms

Client Forms

All client forms are available via an interactive format on a secure HIPPA approved client portal. These forms must be completed and submitted before scheduling can occur. In order to sign up to be a new client please reach out via email to annathemas@mindfulrivercounseling.com. You will then be asked for the following information:

Full name:

Birthdate:

Email address:

Phone number:

Once you provide that information, access to the client portal will be granted via email; please check your junk folders. Upon completion of those forms (which include having a debit/credit card on file) client's can reach back out for scheduling or the therapist will be in touch to do so.

Please find a copy of the service agreement below to answer any questions that you may have and make sure that we are logistically a good fit.

I look forward to working with you!

Client Service Agreement

Are you an agency or medical practice that has a referral to Mindful River Counseling? We appreciate you connecting us with interested clients. Please email the client referral form to: annathemas@mindfulrivercounseling.com