All Patient Forms

These forms, not including the ones above, may be filled out prior to appointment or in our office.


Scheduling Policies

  • Please arrive 15 minutes prior to your appointment time to fill out paperwork or feel free to download the paperwork from our website and fill it out in advance.
  • Bring a list of all current medications that you take.
  • Bring your current insurance card as well as your specialist co-payment amount. This will be required before seeing the physician.
  • If you have been referred to our office, please have that physician send to us any relevant medical information prior to your visit.
  • If you do not speak English bring someone with you to interpret.
Monday 8:00-4:00
Tuesday 8:00-5:00
Wednesday 8:00-4:00
Thursday 7:30-4:00
Friday 8:00-1:00
Fax (203) 574-5987
60 Westwood Ave., Suite 104
Waterbury, CT 06708
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