MindBloom Pilot Enrollment

Occupational, Physical, Respiratory, or Speech Therapy

I am currently on a physician-directed fluid restriction.

I currently have a painful hand or skin condition (such as occupational dermatitis).

I am currently dealing with an urgent financial situation that requires immediate attention.

I currently feel emotionally exhausted or disconnected from work.

I understand MindBloom is a functional support tool — not medical treatment, psychotherapy, crisis intervention, or a substitute for professional healthcare.

I understand participation is voluntary and I may stop at any time.

I consent to receive automated SMS text messages from MindBloom during this 7-day pilot. Standard message and data rates may apply.

I understand that replying STOP will immediately end SMS messages.

MindBloom Pilot Enrollment

First & Last Name

Mobile Phone Number