Patient Forms

For the convenience of saving time, new patients can complete forms to bring to their initial consultation. Kindly print out the relevant forms, complete the requested information and bring the completed forms with you to your scheduled appointment. If you are scheduled for a telehealth appointment, please email the completed forms to Kathy at kehkraus@aol.com prior to your initial consultation. Please remember to print out and complete the Patient Registration Information and Cancellation and No-Show Policy. Informed, written consent is required for telemedicine services.

Unanticipated circumstances present themselves from time to time, creating logistical challenges. As a courtesy to other patients, 24-hour advanced notice is required for all cancellations. In the event that a cancellation is made with less than 24-hour notice, or a patient does not show up to their scheduled appointment, the patient will be charged for the visit. Please call 203.912.9449 for all appointment changes. Thank you for your understanding and cooperation.

Forms