FORMS

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. 

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

276 Highland Ave, Suite 2 North Waterbury CT 

211 Schraffts Drive Lower Level Waterbury , CT

1336 W Main Street Suite 2A Waterbury , CT 

179 Post Road W Westport, CT

850 Straits Turnpike Suite 1 Middlebury, CT 

 203.518.8218               203.558.2511            Fax 844.833.5610

© 2019 by Naugatuck Valley Counseling & Medication Management DBA Restart Behavioral Health and Wellness