SPECIAL INSTRUCTIONS: GreenVine Health provides mental health services for individuals six years of age and older. However, children and teens who are under 18 must have their parent’s or legal guardian’s permission. Furthermore, the email on the child’s or teen’s account MUST BE THE PARENT’S OR LEGAL GUARDIAN’S EMAIL.   Thank you for your cooperation!  
Price:
$59
First Name Required
Last Name Required
Birth Date is Required
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First and Last Name of Child's Parent or Legal Guardian (if applicable) is not valid
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Invalid Email
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Password Strength  Password must be "Medium" or stronger
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