Thank you for choosing Stamford Integrative Medicine. Please take note of the following:

  • Please plan to arrive ten minutes before your appointment for check-in. Call 203-324-4747 to schedule.
  • Stamford Office Location:¬†22 Fifth Street. 2nd Fl. Stamford CT 06905
  • Choose and sign the appropriate consent form before completing the new patient evaluation form.
  • Completing the new patient evaluation form may take up to 45 minutes.
  • The secure new patient form¬†will delete your answer after few minutes of inactivity. Make sure you can complete once you start.
  • Answer all questions and type “na” if the questions do not apply to you.
  • Do not use iphone, ipad or smartphone when completing the form.
  • We will ask for relevant records AFTER the first consultation. Please wait for us to ask for them.
  • Please make special arrangement if you are looking to have your previous records thoroughly reviewed.


Go to Stamford Integrative Medicine new patient form to start.