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).
Additional Forms
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