1. Get a referral/ prescription from your doctor
Get a referral/ prescription from your doctor. Your doctor can either give the form to you to bring with you on your first visit, or your doctor can fax it to our office at 203-776-4989. Although Connecticut State Law no longer requires you to have a physicians referral, insurance companies still require a referring physician to be listed on claims.
2. Schedule an appointment
Call our office to schedule an appointment.
- New Haven: 203-752-7878
- Branford: 203-483-7979.
3. Paperwork
All patients
1. Please print out and fill out these forms:
- New patient registration form
- Health questionnaire
- Health Information Privacy (HIPAA) form
- History of present illness questionnaire
2. Bring them with you on your first visit along with your insurance cards and a driver’s license.
3. If you have any questions please call us at 203 752 7878.
If you are referred for the treatment of vertigo or dizziness also print and fill out:
Auto insurance accident patients
If you’ve had an auto accident, please have the following information available:
- The name of your auto insurance company.
- Whether or not you have medical coverage under your auto policy and the amount. If you don’t, please get a letter from your auto insurance company to our office by the time of your first appointment. Insurance companies call this a “no med pay” letter.
- The name and phone number of your accident insurance adjustor
- Claim number
- The date of the accident
- The name and phone number of your attorney
Worker’s compensation injury patients
If you have a workers compensation injury, please provide us with the following information:
- The name of your worker’s compensation insurance
- Claim number
- The name and phone number of your adjustor
- Date of the injury
- Name, address, and phone number of where you worked when the accident occurred
4. We accept the following insurance:
We participate with many insurance carriers, including the following:
- Aetna
- Align Network
- Anthem Blue Cross & Blue Shield
- Berkley Administrators of CT
- Cigna
- ConnectiCare
- Corvel
- First Health Network
- Focus Network
- Great West
- MCMC, LLC– for Webster Ins. and United Illuminating only
- Medicare
- MedRisk Network
- Multiplan Network – includes PHCS
- UnitedHealthcare
- U.S. Department of Labor
- Workers’ Compensation Trust
If your carrier isn’t listed please call us at 203-752-7878 to find out if we accept it. Our friendly staff will gladly contact your insurance carrier and help you to understand what’s covered by your plan before you begin care.
