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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