Patient Forms

Please download, print, fill out, and sign the following documents prior to your first consultation with Dr. David Greenfield for treatment.

You may bring them directly to the office or fax or email them to CITA.

Fax #: 860-561-8424

Click on the link name to view the form as an Adobe Acrobat document (PDF). Right-click on the link name to save and download the form. If your forms are not printing correctly, make sure your printer “Scaling” option is turned off. On a Macintosh, enable the option to “Ignore Scaling and Shrink to Fit Page Width”.

Note: To download Adobe Acrobat Reader for free, click here.