Additional Forms

Please print the following form, If a parent/or guardian will not be present at the time of an appointment for a minor child (17 and under).

Ansonia Office

364 East Main Street
Ansonia, CT 06401
P: (203) 734-4806
F: (203) 734-8265
Monday 9:00am-11:45am 1:00pm-5:00pm
Tuesday Closed
Wednesday 9:00am-11:45am 1:00pm-5:00pm
Thursday 9:00am-11:45am 2:00pm-4:00pm
Friday 9:00am-12:00pm
Saturday Closed
Sunday Closed

Shelton Office

4 Corporate Drive, Suite 384
Shelton, CT 06484
P: (203) 734-4806
F: (203) 734-8265
Monday Closed
Tuesday 8:30am-12:00pm
Wednesday Closed
Thursday 1:00pm-5:00pm
Friday 9:00am-3:00pm
Saturday Closed
Sunday Closed