Patient Forms


Patient Forms

To save time on your first visit download the needed forms, print and fill them out at home. Bring them in on the day of your first appointment or fax them to Brookfield @ (203) 740-7354 or New Fairfield @ (203) 312-0201 .

Click on the link(s) below to download your form(s).

Please Choose Most Appropriate for Your Condition:

Please bring list of meds 1st visit

If under 18: Consent to Treat a Minor

If appropriate: