top of page
Therapist taking notes during session with client

Client
Registration 
Form

Already have a therapist and have your appointment scheduled? GREAT! You are in the right place! Please fill out our client registration form and a member of our team will get back to you as soon as possible.

We are looking forward to working with you on your journey! If you have any questions, don’t hesitate to call us at 269-262-1815.

If you do not have a therapist assigned, please go to our therapy request form.

Configure Your Form

Please navigate to the component settings to configure your form.

bottom of page