Click HERE to fill out the referral form online.
Or, download the referral form below and fax it to us at 203-266-1005. You may also email the referral form to firstname.lastname@example.org.
FSCT Referral Form 2019 (pdf)
Address: 220 Main Street South Unit 206A, Southbury, Connecticut 06488.
By appointment. Please email or call us to schedule an appointment.
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