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644 West Putnam Avenue Suite 203
Mon-Fri: 8:00 - 5:00
(203) 661-2596
(203) 625-8331
644 West Putnam Avenue Suite 203
Mon-Fri: 8:00 - 5:00
HOME
Our Team
Our Team
Dr Caleb Moore
Dr Sandra Lithgow
Dr Sara B Seidelmann
Dr Catherine Joyce
Dr Herbert Archer
Dr Danielle Greenman
Rebecca Stiritz PSY.D
About us
Membership Inquiries
Membership Inquiries
Medical Records
Patient Portal
Record Release
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PDF Templates
February 8, 2023
[template] HIPAA Signature
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February 8, 2023
[template] Minor Consent To Treatment
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February 8, 2023
[template] Child Intake Form
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February 8, 2023
[template] Adult Intake Form
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February 7, 2023
[template] Records Release Authorization
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February 6, 2023
Test form signature
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January 30, 2023
[template] Records Release Authorization-Demo
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January 30, 2023
[template] test Release Of Medical Records-duplicate
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January 23, 2023
[template] Records Release Authorization old
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January 22, 2023
[template] Release Of Medical Records
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