Workers Compensation

Section A) Please read our Patient Privacy page, there is an acknowledgment of these practices on page 2 of our patient forms.

Section B) Please print the following forms so we can expedite your first visit.

*Please note you must obtain a claim number from your human resource department, as well as provide us with a HR contact and telephone number in order for our office to process your workers comp claim. This information must be filled out on our workers compensation forms completely prior to your visit with the doctor.

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 9:00am-1:00pm
Tuesday 8:00am-11:30am
Wednesday 9:00am-5:00pm
Thursday 1:00pm-7:00pm
Friday Closed
Saturday Closed
Sunday Closed