Patient Forms

Click the links below to view our patient forms.

NEW PATIENTS: Please submit the Online New Patient Paperwork before coming in! 

ONLINE New Patient Paperwork-Here

Patient Intake Form
Pediatric Intake Form
Progress Evaluation Form


Printable Forms

Print Disability Index Forms


Contact Us

Questions, Comments, Concerns - all are welcome.

Our Location

950 Yale Ave, Suite 29. Wallingford, CT 06492

Office Hours

Open Monday through Thursday

Monday:

9:00 am-11:00 AM

3:00 pm-6:00 pm

Tuesday:

3:00 pm-6:00 pm

Wednesday:

9:00 am-11:00 AM

3:00 pm-6:00 pm

Thursday:

8:15 am-10:45 am

Friday:

By Appointment Only

Saturday:

By Appointment Only

Sunday:

Closed