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Becoming a New Patient

For Medical Practices Making A Referral

Please fax referral information to (203) 535-0023

Becoming A New Patient

To become a new patient, or to obtain additional information about our practice, please fill out the form below or contact at (203) 298-9005 ext.1 or bhildrew@ctpsychwellness.com.

Recommended items to include in your inquiry:

If you are seeking medication management, you must complete a pre-screen form. This one-page form lets our prescribers review whether we’re an appropriate fit for the patient’s needs.

 

The pre-screen form may be downloaded here.

 

Please note: If we do not immediately have someone available, we would be happy to add you to our wait list and/or to provide you with resources for finding a provider in the area.

New Patient - Next Steps

Once you’ve been assigned a provider, please send us the following information
Ways to send new patient materials

Medication Refill Requests

If you are looking to become a new patient, please click here.

For medication refills, please contact your pharmacy first. Should your refill require additional attention, please call us at (203) 298-9005, ext. 1 or email Becki at bhildrew@ctpsychwellness.com. You may also email medication@ctpsychwellness.com.

Please note that calls made to other extensions may result in delays of receiving your request. Allow 5 business days for fill requests to be processed.

Outstanding balances must be paid prior to receiving a medication refill. Please call our office at (203) 298-9005 x2 for additional assistance.

If you are overdue for a follow up, you will be asked to kindly schedule a visit at the time of your refill request. You may also contact Alana Cognata at acognata@ctpsychwellness.com or (203) 298-9005 x0 to schedule a follow-up appointment.

Pharmacies Please fax medication requests to (203) 643-2253 or call (203) 298-9005 x1. Thank you.