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Fill out the contact form below with your email address for the fastest response, or call us today!

(203) 990-1215

Please be aware that the form below is not HIPAA compliant or secure, so only share minimal information. After submitting the form below, our intake coordinator will be in touch with you to gather more information.

** If you are under 18 years old we usually need a parent or guardian’s signature on your intake paperwork. If you have any concerns about this, please include that information on the form. Thank you!**

To send a fax: (203) 816-6646