Thank you for choosing the Chase Family Movement Disorders Center and Hartford HealthCare Ayer Neuroscience Institute as your care provider.
We hope to make your first visit with us as stress-free as possible. Providing information prior to your appointment will help us as we evaluate you and develop a care plan.
Please have your physician or provider fax, e-scribe, or mail a clinical referral. Please keep in mind that this is different from an insurance referral. Once received, our office will contact you to schedule the appointment.
What to Bring
Remember to bring your insurance card and photo ID to your visit. If your referring physician or provider is outside of Hartford HealthCare, please have any information relevant to your diagnosis mailed or faxed to us. If you have had any imaging completed, please bring in the actual films on a CD.
New Patient Forms
Once your appointment is scheduled, 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.