Client portal guide
Your client portal, explained
How to sign in, what each section of the portal is for, and how to do the common tasks — the same answers the portal’s Help tab shows, in one place you can read before you sign in.
Signing in
Sign-in uses a one-time email code (OTP) unless you have allowed a device to stay signed in. There are no passwords.
For security, the portal signs you out after about 30 minutes of inactivity (a 5-minute warning appears first).
Settings → Sign-in & security lists any devices allowed to stay signed in, and removes them.
Trouble signing in? Call the office at (360) 342-6445.
What’s in the portal
Each section of the portal and what it is for.
Home
overview — next appointment plus anything needing your attention
To-Do
THE one place for everything waiting on you - worksheets (assigned or ones you started yourself), forms, consents, screenings, unfinished intake (tap an item to open it directly), plus the Check-in section (pre-session check-in before each appointment). Anything past its due date is marked Overdue with the date it was due, so To-Do and the Worksheets section of Library now agree about what is late
Appointments
two sections: Schedule (request, reschedule, or cancel visits) and Telehealth (your video session runs right in the portal - allow camera/mic when asked; camera test and open-in-new-window fallback for iPhone/iPad; on a phone, tap fullscreen in the video for a much bigger picture); the Join video visit button switches to Telehealth for you; if the provider shares an activity or game during the visit it appears on this screen by itself — no link to open — beside the video on a computer, with a Game/Video toggle on a phone, plus an Open-full-screen link, and a few activities open in their own tab instead; if the provider shares Minecraft, what appears is a join card rather than a game — the Realm or server to join and your provider's Minecraft name — because you play from your own copy of Minecraft, and your own Minecraft name is recorded under Settings → Profile & contact
My Treatment
active diagnoses and treatment goals with progress
Medications
medication list, mark taken today, request refills, report side effects, sign medication consents
My Record
your clinical record in four sections: Clinical notes (finalized notes your provider shared), Visit summaries (plain-language after-visit summaries), Lab results, and Intake (your new-client questionnaire — complete it before or between your first visits)
Assessments
questionnaires and daily self-tracking in one place - Screenings (complete assigned questionnaires like PHQ-9 or GAD-7 and view past results), Daily log (one place to rate mood 1–10 plus anxiety, energy, sleep, and concentration), Cycle (periods, flow, cycle symptoms), and Journal (private wellness journal; share entries with your provider if you choose)
Progress
two sections: Trends (charts of how mood, symptoms, and screening scores have moved over time) and Wellness snapshot (a plain-language summary of how things are trending, prepared with AI assistance from your record). Snapshots your care team shares with you have been reviewed by them. You can also make your own with 'Create my snapshot' — those are yours, visible to your care team, but nobody has reviewed them, and each snapshot says which kind it is. There is a daily limit on how many you can create
Games & Tools
the practice's own games and activities (the list grows as more are built), played right here or full screen, with no sign-in and no advertising, silent unless you press a game's own Sound button; two-player games have a Play together button that gives a six-character code, and the page's "Have a game code?" box opens a friend's board (a shared board is kept for a day); a game your provider shares during a video visit appears on the Telehealth screen by itself
Library
self-help material in three sections: Worksheets (complete assigned exercises AND start your own - custom worksheets, Food for Mood plans, coping skills cards, weekly action plans, classic exercises like gratitude or thought records; answers autosave and are shared with your provider unless you turn sharing off), Videos (videos your provider sent), and Resources (education resources your provider assigned)
Documents & Forms
paperwork in four sections: Documents (files shared with you and files you upload), Consents (review and e-sign), Forms (request FMLA/disability/letters and download completed ones), and Records release (authorize sharing your records with another provider)
Billing
self-pay invoices and payments
Neurofeedback
neurofeedback program sessions (if enrolled)
Messages
secure messaging with your provider — the right place for clinical questions
Safety Plan
your personal safety plan and crisis resources
Help
how to do the things this portal does, searchable, each answer linking to the place you need - the same answers this assistant gives, available whether or not AI help is switched on
Settings
your account hub, organized as cards - Profile & contact, Care & coverage (insurance, allergies, pharmacies), Payment & billing (your card on file and past invoices), Notifications & reminders, Language & display, Text messages, Caregiver access, AI & privacy, Sign-in & security, and Report an issue; a Student clinician card also appears when the practice's student program applies to you, a Connected health data card when the practice offers Apple Health linking, and a Video visits card (where a video visit opens - inside the portal or in your browser) on computers and Android browsers while the practice leaves that choice open
How do I…
Step-by-step answers, grouped by the section of the portal they are about.
Start here
Request a refill
Medications tab → find the medication → "Request refill". Status shows in the same tab. Allow 1–3 business days.
Message the provider
Messages tab — the secure, HIPAA-compliant channel. Never regular email for clinical questions.
Book / reschedule / cancel a visit
Appointments tab — pick from your provider's real openings. Every request is reviewed by your care team, and you get an email and a portal notification when it is decided; if the practice confirms, moves or cancels a visit, you are told the same way. Video visits are joined from the appointment itself at visit time.
To-Do
Get lab work done that your provider ordered
To-Do tab — once an order reaches the lab, the Lab work section lists each test, any preparation instructions, and how to schedule with Quest Diagnostics online or by phone.
Pre-session check-in
To-Do tab → Check-in section — share how the week went before your visit. About two days before each session (or as soon as it is booked, if that's closer) a 'Check in before your session' card leads Home and To-Do, and a one-time pop-up offers 'Check in now'. Your answers are saved as you go.
Will I lose my answers if I stop halfway?
No — screenings under Assessments, the Check-in under To-Do, records-release and form requests under Documents & Forms, and worksheets under Library all save as you type; a line under the form reads 'Your answers are saved as you go.' Come back later on any device and pick up where you left off; pressing Submit sends the answers and clears the draft. A message is sent or it isn't, and a signature is always typed fresh at the moment you sign.
Why does something say Overdue?
Anything your provider gave a due date has passed that date and is not finished yet. To-Do and the Worksheets section of Library show the same wording, so they always agree. Nothing is closed or withdrawn when it goes overdue — open it and finish it whenever you can, or send a message if the timing does not work.
Appointments
Book / reschedule / cancel a visit
Appointments tab — pick from your provider's real openings. Every request is reviewed by your care team, and you get an email and a portal notification when it is decided; if the practice confirms, moves or cancels a visit, you are told the same way. Video visits are joined from the appointment itself at visit time.
Join a video visit
Appointments tab → Telehealth section, or 'Join video visit' on Home, from about 30 minutes before the start. On a computer or an Android phone the visit opens right there on the page. On an iPhone or iPad, and in the Northwest Psychiatry app, the same button opens the visit in your browser in its own tab, where the camera and microphone work best — keep the portal open behind it; it stays signed in for the whole visit. 'Show the visit here instead' keeps it on the page. You are only ever in the call once: if the visit is open in another window, the page steps out of the waiting room and 'Rejoin here' brings it back. Allow camera and microphone when asked, then wait until your provider admits you.
My provider shared a game or activity
It appears on the Appointments tab, Telehealth section, while your visit is open — you do not have to click anything. If the video is on the same page, the activity sits above it on a computer and you scroll between the two; on a phone you can tap between "Game" and "Video" without dropping the call. "Open full screen" opens it in its own browser tab. A few activities cannot run inside the portal; those say so and open in their own tab — keep this browser tab open so your video visit stays connected. If your provider shares Minecraft, a card appears instead of a game — where to join and the Minecraft name to look for — because you play from your own copy; add your Minecraft name under Settings → Profile & contact so they can invite the right player.
Medications
Request a refill
Medications tab → find the medication → "Request refill". Status shows in the same tab. Allow 1–3 business days.
Download a signed copy of a medication order
Medications tab → 'Download signed order (PDF)' on a current medication. Each press makes a fresh signed copy with its own serial number, on the practice's letterhead. For most medications it is a prescription a pharmacy can use as a backup to the electronic one; for a controlled medication it is marked as a record copy that a pharmacy cannot fill from — those prescriptions must reach the pharmacy electronically or hand-signed — so it is for your own records. Stopped medications have none.
My Record
See notes, visit summaries, or lab results
My Record tab — pick the section at the top.
Assessments
Complete a screening
Assessments tab — anything assigned shows there with a Start button.
Log how you're doing (mood, anxiety, energy, sleep), your cycle, or a journal entry
Assessments tab — Daily log, Cycle, or Journal at the top.
Progress
Make my own Wellness snapshot — and has anyone read it?
Open Progress and choose Wellness snapshot, then 'Create my snapshot'. It reads your own record and writes a plain-language summary — trends, things to talk about, an overall wellness score. Every snapshot says which kind it is: ones your care team shared with you have been reviewed by them, and ones you create yourself have not been read by anyone, though your care team can see them. There is a limit on how many you can create in a day. It is for your own understanding, not a diagnosis — bring anything that worries you to Nicholas directly.
Games & Tools
Play a game or use an activity
Games & Tools tab. Everything there is the practice's own — no sign-in, no advertising, silent unless you press a game's Sound button, and a shared board is kept for a day, then gone. Open one right in the portal or full screen. Two-player games have a Play together button: it gives you a six-character code, and whoever opens the game with that code (or the copied link) shares your board; on the Games & Tools page, "Have a game code?" opens one. If your provider shares a game during a video visit, it appears on the Appointments tab's Telehealth screen on its own.
Documents & Forms
Sign a consent
Documents & Forms tab → Consents section (medication-specific consents are in Medications).
Request a form (FMLA, disability, letters)
Documents & Forms tab → Forms section — submit the request; download it there when your provider finishes it.
Share records with another provider
Documents & Forms tab → Records release section.
Messages
Message the provider
Messages tab — the secure, HIPAA-compliant channel. Never regular email for clinical questions.
Settings
Update phone, pharmacy, allergies, insurance, or notification preferences
Settings tab — pick the matching card (Profile & contact, Care & coverage, Notifications & reminders, Text messages).
Update my card on file, or find a receipt
Settings tab → Payment & billing card. Your card is stored with Stripe, never here — 'Add a payment method' or 'Update payment method' opens Stripe's own secure page. Past invoices and receipts from online payments are listed on the same card. To PAY an open invoice, use the Billing tab.
Turn AI features on or off
AI features (like the Wellness snapshot in Progress, or medication explanations) need your AI consent — you can turn it on when prompted or in Settings, and turn it off anytime.
Share Apple Health data (sleep, heart, activity, body measurements) with my care team
Settings tab → Connected health data card (shown when the practice offers Apple Health linking). Turn on the categories you want to share — sleep, heart, activity, body measurements — then, in the Northwest Psychiatry iPhone app, tap 'Connect Apple Health' and allow them on Apple's screen. Only daily summaries are shared, never continuous readings or your location. Time asleep, resting heart rate, HRV and steps are charted under Progress and on your chart beside your treatment; the newer summaries (sleep stages, exercise, mindfulness and daylight minutes, body measurements) are stored but not yet charted. Turn a category off any time — sharing stops with the next sync — and 'Delete synced … data' removes what was already shared.
Open my video visit in a separate browser window instead of inside the portal
Settings tab → Video visits card. It is shown on computers and Android browsers while the practice leaves the choice open; pick 'Inside the portal' (the practice's default) or 'In a separate browser window' — it saves as soon as you choose, and the next time you press 'Join video visit' the visit opens that way. On iPhone, iPad and in the app the visit always opens in the browser, where Doxy works best, so the card is not shown there. Whichever you choose, you wait in the same waiting room until your provider admits you.
Questions about the portal
What are the Assessments/Screenings?
The Assessments tab lets you complete standardized psychiatric screenings assigned by your provider — including PHQ-9 (depression), GAD-7 (anxiety), MDQ (bipolar), ASRS (ADHD), PCL-5 (PTSD), ISI (insomnia), AUDIT (alcohol use), and others. Most take about 2–5 minutes; a few of the longer questionnaires run to forty questions or more. After answering all questions, your score is automatically interpreted and saved — your provider can review results to monitor symptom trends between appointments.
How do I send a message to my provider?
Click the Messages tab in your client portal. Type your message and click Send. All messages are encrypted and private. Messages are intended for non-urgent questions — if you have an urgent concern, please call (360) 342-6445. For a psychiatric emergency, call 911 or 988.
Why was I automatically logged out of the portal?
For your privacy and security, the portal automatically signs you out after about 30 minutes of inactivity — especially important on shared or public devices. You'll see a warning 5 minutes before the session expires, giving you the option to stay signed in. If you are signed out, just enter your email on the sign-in page and we'll send you a fresh 6-digit code.
My provider shared a game or activity during my visit — where is it?
On the Telehealth section of your Appointments tab, while the visit is open. It appears on its own — there is no message to watch for and no link to open. If the video is on the same page, the activity appears above it on a computer and you scroll between the two; on a phone you can tap between "Game" and "Video" without dropping the call. If your visit is running in your browser instead (as it does on an iPhone or iPad), the activity is waiting on the portal page behind it. "Open full screen" opens the activity in its own browser tab; a few activities can only run that way and will say so. Either way, leave this one open so your video visit stays connected.
How do I join my video visit on an iPhone, iPad, or in the app?
Press "Join video visit" on your Home tab or on the Telehealth section of your Appointments tab, about 30 minutes before the start. On an iPhone or iPad, and in the Northwest Psychiatry app, the same button opens the visit in your browser (Safari on Apple devices) in its own tab, because that is where the camera and microphone work best — keep the portal open behind it; it stays signed in for the whole visit. On a computer or an Android phone the visit opens right there on the page. You are only ever in the call once: if the visit is open in another window or tab, the portal page steps out of the waiting room and offers "Rejoin here" for the way back. Allow camera and microphone access when asked, then wait until your provider admits you.
Will I lose my answers if I stop halfway through a form?
No. Screenings, the pre-session Check-in, records-release requests and form requests save as you type — a line under the form reads "Your answers are saved as you go." — and worksheets have always saved as you go. Come back later, on any device, and pick up where you left off; pressing Submit sends your answers and clears the draft. Two things are deliberately not saved as drafts: a message is sent or it isn't, and a signature is always typed fresh at the moment you sign.
Can I download a copy of a prescription?
Yes — open the Medications tab and press "Download signed order (PDF)" on any current medication. Each press makes a fresh signed copy on the practice's letterhead with its own serial number. For most medications it is a prescription your pharmacy can use as a backup to the electronic one; for a controlled medication it is marked as a record copy a pharmacy cannot fill from, because those prescriptions must reach the pharmacy electronically or hand-signed — so that copy is for your own records. Medications you no longer take don't have one.
Will I be told if my appointment is changed?
Yes. Whenever the practice confirms, moves or cancels one of your visits, you get an email and a notification under the bell at the top of the portal, each naming the date and time. Your own requests work the same way: a booking, reschedule or cancellation you ask for stays pending until your care team decides it, and you hear the moment they do.
Can I create my own worksheets and plans?
Yes — the Worksheets section of the Library tab is a toolkit, not just an inbox. Under "Start something new" you can build a custom worksheet around whatever is on your mind, create a Food for Mood plan (a week of foods chosen for the way you want to feel), build a coping skills card (pick what you're facing and how strong it is — you get a pocket card of 6 skills to try), build a small weekly action plan matched to how much energy you have, or start a classic exercise like a gratitude log, CBT thought record, SMART goal, worry log, or sleep log. Your answers save automatically as you type, finished exercises can be repeated with one tap, and everything you create is shared with your provider unless you switch sharing off on that worksheet.
I need help right now
Call or text 988 — free, 24/7. In immediate danger, call 911. Your own plan is in the Safety Plan tab.
Ready to sign in?
Prefer to watch? Short video tutorials walk through the portal too.
Or call the office at (360) 342-6445.