Contact

Use the form to request an appointment.
We will call you to confirm.

Name *

Name

First Name

Last Name

Email Address *

Phone *

Phone

(###)

###

####

Service *

Select a type of service

Preferred Clinician *

Date *

Date

YYYY

Time *

Comments or Questions

Location

1817 Black Rock Turnpike, Suite 205

Fairfield, CT

06825

Email & Phone

connecticutintegrative@gmail.com
Phone: 203-717-1339

Home