For your convenience, we have supplied our general patient forms below.  If you wish, click on the links below, print, complete the forms, and bring them with you to your appointment.  Printing them, filling them out and bringing them with you will allow us to attend to your medical needs more quickly than completing them upon your arrival.

REGISTRATION FORM: CLICK HERE

PATIENT BILL OF RIGHTS: CLICK HERE

NOTICE OF PRIVACY PRACTICES:  CLICK HERE

HIPPAA FORM:  CLICK HERE

PATIENT RELEASE FORM:  CLICK HERE

PATIENT QUESTIONNAIRE - ENGLISH:   CLICK HERE

PATIENT QUESTIONNAIRE - ESPANOL:  CLICK HERE

If, for some reason your service was not satisfactory, by any means, please print and fill out the Patient Complaint Form.

Mail to:

CIRCLE CARE Center
618 West Avenue
Norwalk, CT 06850

PATIENT COMPLAINT FORM: CLICK HERE