New Patients *Getting Started

Step 1 Complete provide the requested information *required

Please complete the New Patient Registration Form only if you are NOT experiencing suicidal thoughts. Dial 911 in an emergency. Or call the National Suicide Prevention Lifeline at 1-800-273-TALK (8255), 24 hours a day, 7 days a week, or use the Lifeline Chat at the Lifeline website. The Lifeline is free, confidential, and available to everyone.
Please note Visions and its counselors do not provide court-mandated services or accept patients whose care will likely involve courts. If this is the case, please do not complete this form and locate another practice to better meet your needs.
Visions' therapist utilize Prepare Enrich relationship assessment with every couple. The assessment is administered online and the couple will receive a Couples Report and workbook to use in sessions. The cost of the Prepare Enrich assessment is $35 per couple and is not covered by insurance or EAP, it is paid directly to Prepare Enrich when you take the assessment. Please read the consent to treatment carefully. You are agreeing to avoid court, subpoening Visions counselors, or your records to ensure the therapeutic purpose of the services. Visions' counselor will not serve as expert witnesses or be involved in court proceedings of any kind.
Print name and Signature
Print your name and signature

Upload Identification, Insurance Cards, Court/Other Documents

Click or drag files to this area to upload. You can upload up to 2 files.
Click or drag a file to this area to upload.
Click or drag a file to this area to upload.
Click or drag a file to this area to upload.

Step 2: Visions will process the pre-intake form and email you a link to create a patient portal account to request an appointment and complete the health history and other forms.

Step 3: Once your appointment is accepted, you will receive a confirmation email. Two business days before your appointment, you will receive a separate email from TherapyPortal. If you need to cancel or reschedule your appointment, please allow 24-hour notice to avoid a $50.00 fee that is not covered by insurance or EAP.

You will join the telehealth session by logging into the patient portal at your appointment.

If you have any questions, do not hesitate to email us at [email protected]