To schedule an appointment call 860-767-1277 ext. 201
We accept most health insurance plans and will facilitate the submission process.
Please print and complete forms 1 through 3.
Please bring these forms to the intake appointment.
- Patient Information and Insurance Form (2 forms)
- Financial Agreement (1 form)
- No Show / Cancellation Policy / HIPAA Policy (2 forms)
- Patient copy: Financial Agreement & Urgent Care Policy