Patient Registration

REGISTER TO RECEIVE SERVICES

Welcome to Mountain Strong patient portal registration process. Start by completing the form to utilize your Mountain Strong EAP Benefit or apply for financial assistance using one of our scholarship programs.

Once you create an account profile by completing this form, you be granted access to request behavioral health services with a provider of your choice for you or one of your dependents.

First Name:

Last Name:

Email:

Mobile Phone:

Password: The password should be a minimum of 10 characters with at least one uppercase letter, one lowercase letter, space not allowed, one number, and one special character.

Confirm Password:

By Checking this box, I agree to receive SMS messages from Mountain Strong

For assistance, please contact us at support@mountainstrong.org or (970) 422-3037