Client Forms

If you are new, please feel free to fill out these intake forms before our first session. These forms can also be filled out during the first session.

Client Intake Form

Information Sheet

Referral Face Sheet

COVID-19 Pandemic Patient Disclosure Form:

Please fill out this form if you will be attending an in-office session today. Please note this form is necessary to be in compliance with CDC and Connecticut State Law guidelines for office visits. Thank you for your understanding.

Watertown, CT 06795

2030 Straits Turnpike
Middlebury, CT 06762

390 Middlebury Road Suite 2 Middlebury, CT 06762

(203) 558-1143

Any Questions?
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