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).

Please complete all required questions.

Client Information

/ Middle Initial

( optional )
 
( Must be at least 18 years old )
( MM-DD-YYYY )


( optional )
( optional )





( for Text Message Reminders )

Bill To Contact

/ Middle Initial







Emergency Contact

First Name
Last Name
Phone
Mobile
Relation
Email
Street Address
City
State
ZIP Code

Log in Details

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



Between 8 and 40 letters and numbers

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

Privacy Measures

PRIVACY MEASURES For The Client

It is recommended that you (the client) use the same safety measures that I use for keeping your information confidential.

Paper

It is recommended that you store all paper documents with your information in a locked cabinet.

For same-location services you may want to turn off any devices location services before coming to the counselor's office.

When receiving distance counseling it is also recommended that you:

Conduct the sessions in a private location where others cannot hear you.

Do not keep your therapists contact information on your phone if it is synced with other accounts/applications.

Using secure video conferencing technology CounSol.com

If the technology has a status bar, hide you status.

If texting only use a secure texting application CounSol.com.

Do not record any sessions.

Password  protect your computer, tablet, phone, and any other device with a password that is unique. 

Use full disk encryption on any computer and/or device you use.

Always log out of your sessions.

Do not have any software remember your password. Sign in every time.

Do not share your passwords with anyone.

Do not share your computer when you are logon to any counseling software.

If you wish to avoid others knowing that you are receiving counseling services, clear your browser's cache (browsing history), and on your phone, list your therapist by a name rather than as "counselor or therapist".

Do not download or store information off of your client portal https://nicolemjacksonwalker.securepatientarea.com/portal/index/

However, if you do decide to, only store in on an encrypted file.

Have all of your devices set to time out requiring you to sign back in after a set idle time.

Keep your computer updated.

Use a firewall and antivirus program.

When online do not login as an administrator.

Router / Access Point

Only use a secure network for internet access using a WAP2 security key.

Use your own administer ID and password (not the default) for your router or access point.

Choose a custom SSID name, not the default name.

Limit the range of you Wi-Fi by positioning it near the center of your home.

Notify you counselor if you suspect any breach in your security.

For more information on securing your mobile device visit: http://www.healthit.gov/providers-professionals/how-can-you-protect-and-secure-health-information-when-using-mobile-device

( Type Full Name )
( Full Name )