For New Patients

Scheduling a New Patient Visit

Welcome to the Hartford HealthCare Headache Center. We look forward to helping you schedule your new patient appointment in three easy steps.

Online Questionnaire1. Who We See.

The Headache Center sees adult patients referred by a primary care physician who are over the age of 18 and who are experiencing daily, routine, periodic, or occasional headaches. In other words, if you are an adult with a PCP who experiences headaches, we are here to help!

Note: We we currently do not see the following patients:

  • We do not accept self-referrals - a referral from a primary care physician is required.

  • Patients who are under the age of 18 and/or in high school.

  • Patients who have an active workers' compensation claim related to headaches or migraines.

  • Patients who experience headaches or migraines due to a motor vehicle accident.

Online Questionnaire2. Complete our online Headache Questionnaire.

This custom-made headache questionnaire is an important tool that your headache specialist will use to help design a personalized care plan for you. We must have this completed questionnaire before we can schedule your new patient appointment because it is so valuable in assuring you receive the best possible consultation with our specialists.

Secure Online Questionnaire

Fax your info3. Send us your medical records and progress notes.

At least three days prior to your new patient visit, send us your medical records and progress notes through fax at 860.696.2926, or ask your current provider for a referral that includes labs, imaging, and your most recent progress note.

Our headache specialists will need recent imaging reports, recent lab reports, and the most recent progress note from the provider who is currently managing your migraine and headache care. We frequently see patients who are looking for specialized headache care, so please do not hesitate to request these records. The best way to send these records is to tell your current provider that you would like your labs, imaging, and most recent progress note sent to the Hartford HealthCare Headache Center at our fax line at 860.696.2926.

  • Recent Lab Reports
  • Recent Imaging Reports
  • Most Recent Progress Note
  • Three Days Prior to your Visit

Call Us4. You will be contacted by our New Patient Coordinator for an appointment once all information has been obtained.

We will attempt to expedite your referrals and answer your questions quickly.

Other Important Resources for New Patients

Headache Center Office Policies

We ask that you arrive at least thirty minutes early for your new patient appointment, and we ask that you call us at least 24 hours in advance if you intend to reschedule. Frequent tardiness and missed appointments can hinder our ability to create access for patients who are looking for care.

Patient Treatment Agreement

We will ask you to sign this consent form when you arrive at our office. Providing care to our patients is a team effort. This form outline’s your role as we work together effectively to preserve the provider-patient relationship.

Download the Patient Treatment Agreement form

Headache Diary & Guide

Please download and print this headache diary. Start using it prior to your new patient visit and always bring it in to your appointments. This diary has proven helpful for many of our patients, and it is also helpful for your specialist who will design your personalized care plan.

Download the Diary & Guide

Joint Notice of Privacy Practices

We appreciate this opportunity to provide an outline of your rights as a patient and our Joint Notice of Privacy Practices. These are designed to help protect your interests and provide you with quality care.

Download the Joint Notice of Privacy Practices

Receipt of Privacy Practices

We will ask you to sign this consent form when you arrive at our office. It allows us to contact you regarding your appointments, and it gives us permission to coordinate and integrate our care delivery within Hartford HealthCare.

Download the Receipt of Privacy Practices form

Friends & Family Form

We will ask you to sign this consent form when you arrive at our office. It gives us permission to speak with specific family members and/or friends about your health care.

Download the Friends & Family form

If you have any questions before you visit us, please call us at 860.696.2925.​​

Headache Center