Register

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 Your Client Portal
We're glad you're here. Your client portal is a secure space where you can manage appointments, complete forms, send and receive messages, and make payments - all in one place.
Your information, including payment details, is protected with bank-level encryption. Only you can see your card number - not your therapist, Salem Mental Health Associates, PLLC staff, or affiliates.

We look forward to supporting you on your journey toward well-being.

Client Information

Legal First Name / Middle Initial

Last Name

Preferred First Name ( optional )

Pronouns ( optional )

Gender Identity ( optional )

Country

Street Address

Street Address 2

City

State

ZIP Code

Cell Phone ( for Text Message Reminders )
Preferred Contact #

Home Phone
Preferred Contact #

How did you find us?

Emergency Contact

Country

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

Salem Mental Health Associates, PLLC - Secure Client Area

Register

Client Information

Emergency Contact

Log in Details