Telehealth Sign up - Mindset Kids

SIGN MY KIDS UP!

Please fill in ALL fields to get you set up in our system

*required fields

Primary Parent/Guardian's first and last name*

Secondary Parent/Guardian's first and last name*

Primary Parent/Guardian's email*

Would you like to add the Resource Club (exclusive webinars, quarterly journal, special discounts, newsletters, private community group, monthly drawings & more!) for $4.99/mo? Yes or No*

Primary Parent/Guardian's phone*

Primary Parent/Guardian's state*

Please list each child (first name, middle initial, last name), age, sex and birthdate*

By checking this box and submitting your information, you are granting us permission to email you.

Welcome to MINDSETkids!!

Your enrollment has been sent successfully. Over the next 24-48 hours, please check your email for registration links to access your CHARM Electronic Medical Records Portal. Please complete the Questionnaires found in your portal so that we can get to know you and your kids! If you have any questions, please contact our office 918-600-2240. (M-F 9am-4pm CST)

SIGN MY KIDS UP!

Welcome to MINDSETkids!!

Follow Us