Registration Update Form

Current Clients: Update registration & insurance information

​Once you submit your form, we will update your registration and insurance information and verify your coverage. Please remember that we require a minimum of 2 business days to verify coverage.

Register for a NEW appointment

Current active clients: ​To schedule an appointment, please contact your therapist directly.

If you are returning for therapy or are turning 18, please complete the "Appointment Registration Form."

If you are a current client and would like to see a new/different therapist, please complete the "Current Client Internal Referral Form."

Returning Clients or Clients turning 18

Appointment Registration Form

Current Clients to see a new Therapist

Current Client Internal Referral Form

Client Portal Login Page

RRC Client Portal

Complete Assessments, communicate with your therapist & view your appointments 

Secure File Upload Form

Provide files securely to us

Were you unable to or did you forget to upload your Insurance Card and/or Photo ID when completing your Appointment Registration Form? Upload important documents to your file with us here.

You may also attach documents securely via messages in your Client Portal.

CC Authorization Form

Credit card updates

​Update your credit card or HSA card on file.

Satisfaction Survey Form

Satisfaction survey

​Your satisfaction is important to us. Please complete the satisfaction survey so that we can continue to improve
the quality and effectiveness of our services!

Online Payment Form

Make a secure online payment

​Pay your bill with our secure online form or PayPal.

Records Release Form

Release of Information

​Please note: Rum River Counseling, Inc. does NOT provide disability determination, custody studies, or handle court issues.

​Our secure fax is
​612-235-6447

GFE Form

​"When action
meets compassion,
lives change."