Thank you for submitting an intake request!
What to expect next ...
Once you have filled out the CCG Intake Form, please give our staff 24-48 hours to process the form and set you up in our system. Then you will receive an email from TherapyPortal.com which will prompt you to create a Client Portal. Inside your portal account you will complete the following:
Patient Information Form—fill out and submit
Covid Policy—Read and e-sign (this is particularly important to know when you come into the office for an in-person visit as it outlines the very specific procedures to follow.)
Insurance Card FRONT—upload a picture. (If you have more than one insurance, take a picture of all cards together in the order they should be processed–primary at the top, then secondary, then–if applicable–tertiary.)
Insurance Card BACK—upload a picture. (Take a picture of the back of all applicable cards together the same as was done for the fronts.)
Driver’s License FRONT/BACK–upload a picture of each side of your license in the same way you did for your insurance card