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Behavioral Health Client Portal
Enter
your
first name, exactly as it is spelled with your provider.
Note: Even if you plan to manage children/adult dependent accounts, this field should still be
your
name.
Enter
your
last name, exactly as it is spelled with your provider.
Enter the last 4 digits of
your
social security number. This is for verification purposes, and must exactly match what is on file with your behavioral health provider.
E-mail
*
Enter the email address associated with your account. If you are not sure what it is, contact your behavioral health provider.
Password
*
Confirm password
*
Provide a password for the new account in both fields. Password must be at least
7
characters.
By checking this box, I affirm that I have read and agree with the
Terms of Service
.