“You can learn many things
from children. How much
patience you have, for
instance.”
- Franklin P. Jones
Call Us
STAMFORD OFFICE
203.323.1770
NEW CANAAN OFFICE
203.972.5232

SCHOOL &
CAMP FORMS

Allow three business days for form completion. If you would like your forms to be mailed, please provide a stamped, addressed envelope; otherwise plan to pick them up. Forms cannot be faxed to schools or camps.

STAY INFORMED

Sign up for email alerts, and our news.
Enter email and click Submit
CAMP & SCHOOL FORMS To efficiently manage the enormous volume of school and camp forms, we ask that you complete the following prior to submitting school, camp or sports forms:
  • Patient information/demographics
  • Allergies
  • Chronic medical conditions
  • Past surgery or hospitalization
  • Name and dosage of each prescription or over-counter medication taken regularly
  • Restrictions in diet or physical activity
Form fees may be paid upon submission or pick-up: $10.00 per form per patient, or $20.00 for two or more forms when submitted simultaneously.