Patient Forms

Adult New Patient Form
Please print and fill out the attached form.
Adult New Patient Forms.pdf
Adobe Acrobat document [163.1 KB]
Child New Patient Form
Please fill out the attached form and bring it with you to your first appointment. Thank you!
Child New Patient Forms.pdf
Adobe Acrobat document [169.2 KB]

Want to save time during your visit with us? Please print and fill out the following forms and bring with you on your first appointment.

Fee Schedule:

Initial Visit          

$180.00

 

Return Office Visits

30 to 40 Minute Visit      

$120.00

 

15 to 20  Minute Visit

$85.00    

 

Sick Visit      

$45.00

Don't forget to bring your insurance information with you

In order to register and treat you promptly, we request that our patients bring their current insurance information with them for each visit.
 

Dr. Brian J. Henninger, N.D. is a provider for the following Insurance Companies:

 

ACCESS HEALTH CT

AETNA

ANTHEM BC/BS

OXFORD

CIGNA

MANY OTHERS (CHECK WITH YOUR OUT-OF-NETWORK OPTIONS!)

*Disclaimer: please check with your insurance company for prior approval.

 

Please contact us for further details.

Organization Telephone Number
Emergency Services & Fire Department 911
Centers for Disease Control and Prevention 800-CDC-INFO (800-232-4636)
   
   

Schedule an Appointment

Brian J. Henninger, N.D.

1305 Post Rd

Suite 301

Fairfield, CT 06824

 

office 203.255.4325 

fax    203.254.7340 

 

Or use our contact form.

Office Hours

We are open during the following hours:

Monday 9-6

Wednesday 9-6

Friday 9-6

Saturday 8-1

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