345 Highland Avenue, Cheshire, CT
CALL or TEXT: 1-203-599-1492
OR
Email: intake@ctkidsmatter.com
FAX: 203-433-0669
Information needed:
Name and Date of Birth
Address
Insurance information
Availability for appointments (days, times which work best)
Please download and complete the attached counseling referral form and submit via fax (203) 433-0669 or secure email.
A photo of referral form can also be emailed or text to our HIPAA secure phone system: 203-599-1492