Programs to help you save!

United Way of Western CT and ProsperiKey offer programs to help hard-working families make life easier. Download the flyers below for more information!

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IMPORTANT!

You must download and complete the following 5 forms and email them to office@cvpkids.com or fax them to (860) 355-3856 before your first visit. (We’d prefer that you send them in before you pre-register).

- New Patient Contract
- Medical Records Release Form
- Demographic Sheet
- Waiver
- Credit Card Form

You must also read and agree to the Vaccine Policy.

Pre-Visit Forms(Required)

I have downloaded and will send the completed New Patient Contract, Medical Records Release Form, Demographic Sheet, Waiver, and Credit Card Form before my first appointment.

Pre-Visit Forms(Required)

I have read and agree to the Vaccine Policy.

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