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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).

Client Information

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Bill To Contact

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Log in Details

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



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Challenge Questions

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




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

Terms and Policy

Healing Hearts Cancellation Policy
We believe that, in order to provide the best services possible, that continuity of care must be our highest priority. Last minute cancellations, although sometimes unavoidable, interrupt the level of care recommended and often result in delayed client goal attainment. If you need to cancel your scheduled appointment(s) for any reason:

• We ask that you notify our administrative staff at your earliest convenience.
• If no one is available to answer your call, please leave a voice message (608-834-1122)
• We require at least 24 hours notice for each cancellation and reserve the right to charge a fee if this requirement is not met.
• After 3 offenses within a 6 month time period, you will be given the names of 3 referral agencies and will be discharged from our services.
• Excessive tardiness will be considered a cancellation.
• We recognize that some unforeseeable circumstances (weather, sudden illness, emergencies, etc.) may prevent you from providing notice of a cancellation. Exceptions will be considered in these cases and are at the discretion of the Executive Director.

Our therapists’ time is in great demand; with enough notice we can bring in another child or family who is waiting to be seen.
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I have read the cancellation policy and agree to adhere to the guidelines within the policy should I need to cancel any of my scheduled appointments.
( Type Full Name )
( Full Name )