For Referring Providers

Please fill out our Consultation Request form and fax it to (203) 755-3057 with pertaining documentation. We will contact the patient to schedule an appointment, but sometimes patients are not reachable for various reasons. Please tell all patients you refer to our office to call us if they don’t hear from us within 48 hours.

We are requesting that when making a referral, patients are made aware that if they do not speak any English, they have to bring someone with them who speak and understand English. They can also call their insurance company and arrange for an interpreter. It is a tremendous liability when diagnosing a condition that information is transmitted without any misinterpretation.

Referral form (Please Print and Fax to the office)