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Registration is only required if you do not have a username. Please check your spam & junk mail folders to ensure you have not already received an email with a username and password. If you already have a username log in here

Each account must have a unique email address associated with it. Please contact us if you need multiple accounts with the same email address (i.e. related family members).

Welcome to the Depression, Anxiety & Wellness Center Seeing Clients 13+ only. All sessions are virtual! If you have questions feel free to text or call 936-647-1188. For Life threatening emergencies call 911.

Client Type

Client Information

Legal First Name / Middle Initial

Last Name

Preferred First Name ( optional )

Date of Birth
( MM-DD-YYYY )

Gender
Male Female
Prefer not to answer

Street Address

Street Address 2

City

State

ZIP Code

How did you find me?
(optional) (required)

Cell Phone ( for Text Message Reminders )
Preferred Contact #

Home Phone
Preferred Contact #

Ethnicity

Relationship Status

Bill To Contact

Same as above Different

First Name or Organization Name / Middle Initial

Last Name

Street Address

Street Address 2

City

State

ZIP Code

Phone

Emergency Contact

First Name

Last Name

Phone

Mobile

Relation

Street Address

City

State

ZIP Code

Log in Details

( If client is a minor, the legal guardian must enter their email address below. )

Confirm Email

Username
Between 8 and 40 letters and numbers

Local Time / Timezone

Challenge Questions

( These will be used to retrieve your password. Answers must be between 4 and 30 characters, cannot contain any spaces. )

Question #1

Answer

Question #2

Answer

( If you feel you must write down your questions in order to remember them, make sure to keep it in a safe place. )

Depression Anxiety & Wellness Center - Secure Client Area

Register

Client Type

Client Information

Bill To Contact

Emergency Contact

Log in Details

Challenge Questions