Skip to main content
Request an Appointment
Call Us: (203) 553-9797
Home » Contact Us » Appointment Request Page

Appointment Request Page

Appointment Request Form

Basic form for clients to request an appointment with the practice.
  • Please fill in the form below to setup an appointment.
  • Please provide a reason for your appointment. Details are stored securely and not sent by email.
  • Please let us know when you would prefer to have your appointment. Our hours are listed on our location page.
    Please let us know if you are a new or existing patient.
  • Date Format: MM slash DD slash YYYY
  • :
  • This field is for validation purposes and should be left unchanged.
x

Protecting our Patients from Coronavirus

Making sure our patients and staff are safe is our top priority.

While the risk of getting the COVID-19 in the US is currently low, we know many patients are concerned about the spread of Coronavirus.

Protocols we already practice as healthcare professionals are some of the best ways to prevent the transmission of the virus.

If you have recently traveled outside of the US, or have had close contact with someone who has, or if you have a fever, cough or other symptoms of acute respiratory distress, please call our office to reschedule your visit. Many of our patients are children and elderly and have unique risks if they are exposed to COVID-19.

Thank you for helping us to protect all of our patients.