Make an Appointment: 860-920-4420 | [email protected]

  • New Client Forms

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    Client Forms / Records Request

    Please complete the following forms prior to your first appointment. If you have any questions feel free to get in touch with us through the contact page on this site.

    Intake Questionnaire

    Informed Consent

    Credit Card Authorization

    If you would like us to obtain or release information to a 3rd party please complete the Release of Protected Health Information below.

    Release of Protected Health Information