Mental Health Management Group Inc.

Security Check

Instructions: Please include a picture of the front of your Drivers license and the front and back of your insurance card. This can be sent as a message to the "FRONT OFFICE STAFF"

First Name:*

Last Name:*

DOB:*

Sex:

E-mail:*

Mobile #:

Home Phone #:

Address:

Zip Code:

Patient Availability:

Days:

Sun Mon Tue Wed Thu Fri Sat

Reason for Visit:

Facility:

Get email instructions in:

English Spanish

Once clicking "Proceed to Registration", you can complete your registration now or return to complete it later by clicking the link in the initial email you received.

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Once clicking "Proceed to Registration", you can complete your registration now or return to complete it later by clicking the link in the initial email you received.

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You will be happy to know that Patient Portal works seamlessly with Google Chrome.

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You can even make Google Chrome as your default browser.
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If you want to see the step-by-step process to download
Google Chrome, click on the Download PDF button.

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When you open Patient Portal in Incognito mode, third-party websites cannot access data if the cookies are blocked. You will need to allow cookies to work seamlessly with portal.

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