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Referral Forms

Referral Form

In case of a medical emergency, psychiatric crisis, or if you are at risk of harming yourself or others, CALL 911 or seek the nearest emergency room.

 

To schedule a no-cost screening or for more information, please call 800-832-1022 and select option 1 or use the form below. Walk-ins are welcome, and appointments can also be made. We respect your privacy and hold all information discussed in the strictest confidence.

This form is for general questions about Stonington Institute’s services, programs and admissions and IS MONITORED DURING NORMAL BUSINESS HOURS ONLY. If you are experiencing a medical emergency, DO NOT use this form.

Start Your Journey to Recovery

Stonington Institute’s professional staff are here to help. Call 800-832-1022 or 860-535-1010 and select option 1 for a no-cost screening that gathers demographic, insurance and clinical information needed by the assessment team. If you need immediate medical assistance, contact 911 or seek the nearest emergency room.