Become a Client

 

 

Entering into therapy can be complex and overwhelming, Blooming Minds Therapy provides direct and simple steps to help you get into therapy as quickly as possible.  Please submit the form below and we will reach out to you within 48hrs. 

Please enable JavaScript in your browser to complete this form.
Name
Client is an
What Day's Are You Available For Therapy?
Checkboxes

 

Fillable Forms:

Registration Packet

Couple Therapy Registration Packet

Credit Card Authorization

HIPAA

Release  of Information

*Be sure to save the forms after filling them in and send them as an attached email to us at welcome@bloomingmindstherapy.com