Everything you need, before you need it
Your first visit, your forms, your medication questions, and your portal — all in one place.
Your first visit, step by step
Plan for about an hour. Arrive 15 minutes early. Tap any line for details.
How you become a patient
Your doctor, urgent care, or specialist faxes us a referral at 203‑675‑0277. Then our team calls you to schedule. Haven't heard from us? Call 203‑675‑1199 — you will not be left waiting in silence.
What to bring
Photo ID, insurance card, a list of your medications (or the bottles), and any imaging or records you have. Bring a working email address — it connects you to your patient portal.
Running late? Here's our policy
Call us as soon as you know. We'll tell you honestly whether we can still see you or need to reschedule — no wasted trips.
Why we ask everyone for a lab test
It's the same safety step for every single patient — it helps us confirm your treatment is working the way we expect and keeps your care safe. It is never a judgment about you.
Forms — do them at home if you like
New Patient Packet (PDF)
Insurance information (PDF)
Medical records release (PDF)
Medical marijuana packet (PDF)
Injured patient packet (PDF)
Or arrive early and we'll help you fill them out.
Medication questions
When medication is part of your treatment plan, your pharmacy can answer most day-to-day questions faster than we can — start there first.
For anything your pharmacy can't resolve, send a message through your patient portal and we'll respond during business hours — no hold music.
Skip the hold queue
Your patient portal can do almost everything a phone call can: schedule or change appointments, pay bills, see your records, and message our staff directly.
Ready when you are
Request an appointment
Prefer to talk? Call 203‑675‑1199, Mon–Fri 8:00–4:30. Prefer typing? Use this form and we'll call you back.
Already a patient? The fastest path is your patient portal.
Your name
First and last name
Phone number
The best number to reach you
Preferred office
- New Haven — 136 Sherman Ave (Main)
- Waterbury — 140 Grandview Ave
- Middletown — 85 Church St
Best time to call you back (Mon–Fri)
- Morning · 8:00 – 11:00 am
- Midday · 11:00 am – 1:30 pm
- Afternoon · 1:30 – 4:30 pm
Please don't include medical details here — we'll ask everything we need by phone. This form is not for emergencies.
Total Pain Treatment Centers 