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Patient
Registration
Guide
This guide walks you through our secure patient registration process. Registration is a quick way to submit a referral and let us know you are interested in services at New Life Counseling & Wellness Center.
Important: Submitting registration does not automatically enroll you in services. All submissions are reviewed within 24-48 hours before approval.
Save Time
Quick referral process
Submit securely
Start care sooner
Step Order
- Step 1: Begin Registration
- Step 2: Create Secure Login
- Step 3: Patient & Contact Details
- Step 4: Referral & Program Information (Optional)
- Step 5: Select Payment Method (Optional)
- Step 6: Submit Registration (Wait for our agency to reach out)
Step 1: Begin Patient Registration

Step 2: Create Your Secure Login

Step 3: Enter Personal & Contact Details

Step 4: Referral & Program Information

Step 5: Select Insurance Method

Step 6: Submit Registration


