What To Bring

Please have your physician fax or mail a provider referral and then schedule your appointment. Please keep in mind this is different than an insurance referral. Once received, our office will contact you to schedule the appointment and we will mail a new patient packet, or you can download the document below. Please complete this packet and bring it with you to your appointment.

New Patient Information Form
New Patient Information Form

New Patient Questionnaire
New Patient Questionnaire

Remember to bring your insurance card and photo ID to your visit. We ask you to discuss with your referring physician to fax or mail us all information relevant to your diagnosis. If you have had any imaging completed, please bring in the actual films.


Wellness and Integrative Medicine Classes (massage, acupuncture, yoga, tai chi, qi gong, and boxing)

Parkinson’s Disease Information and Referral Center (Chase Family Movement DIsorders Center)

The Parkinson's Podcast (Hartford HealthCare)

SPEAK OUT!® and The LOUD Crowd® two-part speech therapy program (Hartford HealthCare Rehabilitation Network)

Parkinson’s Disease: Guide to Deep Brain Stimulation Therapy (Parkinson Foundation)

Ongoing DBS Therapy: Get the Most from Your Therapy (Medtronic)

All About Deep Brain Stimulation for Essential Tremor (Medtronic)

Deep Brain Stimulation for Dystonia (Medtronic)


Chase Family Movement Disorders Center

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    Phone: 860.870.6385
    Fax: 860.870.0625

  • Clínica Hispana del Centro de Trastornos del Movimiento Chase Famil

    Teléfono: 860.870.6385 
    Fax: 860.545.1201

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