If you are a new patient, print and complete the Patient Registration Form and the History and Intake Form.  Please email them to info@hartfordderm.com or fax them to  860-523-1472, along with your insurance card (front and back) prior to your appointment.

If you are an existing patient and you have a new insurance card, please email it to us (front and back) at info@hartfordderm.com or fax it to us at 860-523-1472.

Please Note: The email address above is for patient registration purposes only.  Scheduling questions, medical questions, and prescription refill requests will not be responded to via email.