For Patients
Everything you need, each on its own page.
Tap or click any box below.
Request an appointment
Fill this out and we’ll call you back to set everything up.
Full name
Phone
Email (optional)
I am a…
New patient
Where would you like care?
Telehealth β video visit from anywhere in CT
Best time for us to call you back
Morning 8:30β11:00
Insurance
HUSKY Health (CT Medicaid)
Please don’t include medical details in this form. We’ll ask everything we need by phone. If you’re in crisis right now, call or text 988 β free, 24/7.
Online requests will be turned on when the new site launches. For now, please call us at 203-680-0030 — we’re happy to help.
In a medical emergency, call 911.
Suicide & Crisis Lifeline: call or text 988 Β·
CT crisis services: call 211 Β·
Crisis Text Line: text HOME to 741741
