ARE YOU A NEW CLIENT?

On your first visit as a new client we ask you to complete a health questionnaire which will help us tailor your session to your needs. We offer three ways for you to provide us with this necessary information. You can complete the form right here on the website and it will be
e-mailed to us*, or you can print the document from our website, fill it out at home and bring it with you to your appointment, or you can fill out the form at our office.
*Please Note: On-line forms must be submitted no less than 24 hours prior to your appointment date and time.

Fill Out the Form
On-line
Print the Form
& Fill it Out 

The Center for Living Well Therapies

36A Padanaram Road, Danbury, CT  06811

203.778.4544

© 2023 The Center for Living Well Therapies