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If you are planning to participate in telehealth services at CT Psychiatric and Wellness Center, please sign the consent form below and return it by email, fax, or mail. 

Please note that telehealth coverage varies by insurance plan and by provider. If you are unsure whether your insurance plan covers telehealth services, please contact the Member Services number on the back of your insurance card for verification. 


CPWC - Telehealth Consent Form


E-Mail: [email protected]

Fax: 203-643-2253

Mail (No drop-offs, please): 

2446 Whitney Avenue, 2nd Floor
Hamden, CT 06518

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