(203) 245-0412
17 Wall St
Madison, CT 06443

(959) 201-6639
317 Longhill Rd
Groton, CT 06340

FAX (203) 245-0572

info@waterstonecenter.com

Refer To Waterstone Counseling Centers

Please Fill Out The Short Form Below, FAX a Referral or use Secure Intake Form

Referring to WCC is easy. Just call or fax and we'll take care of the rest. If your office, institution or facility would like to immediately start the clinical Patient Intake process, simply fill out the short sequence of questions below and then guide your patient through the Secure Intake Form on our AMD clinical platform. The Secure Intake Form is accessed from the green button below this short sequence. Your confirmation of submission is enough to formally record initiation of the process. That's it. We'll take it from there and follow up with you and your patients.

This Easy Referral Process is simply another option available to you. Alternatively, your office can simply FAX the pertinent information or, even more directly: CALL US — We'll take care of the rest.
Thank you! Your submission has been recorded. Please Assist Patient with Secure Intake Form below
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Please Note: The two buttons below will transfer you to our secure AMD clinical platform. Existing (and new) patients can make an appointment directly and confidentially. Referred patients can use the platform to immediately start the Patient Intake process with our Secure Intake Form.

Make The Confidential Call Now
(203) 245-0412

INTAKE FORM

Or Fill Out Our Secure Patient Intake Form

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