Thank you

You have now pre-registered with the practice. One of the CPM staff members will be contacting you shortly to complete your registration. 

If you are a patient who is transferring into the office call our medical records team, 203-790-0822 ext. 201 and submit your past medical health records and immunizations. Once your records are submitted to the office you will be able to schedule your first appointment. You can drop, mail, and or fax your records to 107 Newtown Road, Suite 1D, Danbury, CT 06810, fax (203-790-1808). Our waiting rooms are currently closed due to COVID-19, please call the 203-790-0822 option 2 and a staff member will provide you access to enter the facility

If you are switching to CPM, please make sure to complete the transfer form below and send it to our Medical Records department as soon as possible. Having this information transferred quickly will allow our staff to schedule your child’s first appointment with ease and reduce any delay in your child being seen. Having access to your child’s health history ensures our providers are able to provide the best quality of care.***

Once your transfer form is received, you will receive:

1. FOLLOW UP CALL FROM CPM TEAM TO COMPLETE ENTIRE REG.
2. A CALL TO FOLLOW UP WITH MEDICAL RECORDS TO ENSURE THE RECORDS HAVE BEEN SUBMITTED 
3. ONCE WE HAVE YOUR CHILD’S HEALH RECORDS, YOU MAY SCHEDULE YOUR CHILD’S FIRST APPOINTMENT. 

•  Authorization for Release of Health Information: Transfer of Patient Records-Into the Practice
• Authorization for Release of Records Form - Spanish