If you are new to therapy or counseling, please be sure to fill out the following forms, and bring them to your first session. This will help ease you into therapy and allow as much time as possible to focus on you.

If you would prefer PDF versions that can be filled out online,

please click the file links below. 


276 Highland Ave, Suite 2 North Waterbury CT 06708

1336 W Main Street, Suite 2A Waterbury, CT 06708

850 Straits Turnpike, Suite 101 Middlebury, CT 06762


211 Schraffts Dr. Waterbury, CT 06705

179 Post Road West Westport, CT 06880


© Naugatuck Valley Counseling & Medication Management DBA Restart Behavioral Health and Wellness