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New Patient Information and Forms



Our highly skilled clinicians treat every patient with compassion and dignity. Fairfield Psychological Associates, P.C., is committed to listening to each patient’s concerns and working together toward a successful treatment plan.

In order to assess your counseling requirements, during your first visit to Fairfield Psychological Associates, P.C. we need to obtain your basic information and background medical history.


Patient Forms

To save time at your first visit, please download, print out and complete the patient forms below in advance of your appointment.





New Patient Paperwork
New Patient Paperwork




This website is for informational purposes only. It does not replace psychiatric or counseling services, or constitute a doctor-patient relationship. Information on this website is not a substitute for counseling or psychiatric advice. Do not use information here to diagnose or treat any mental, relationship, or psychiatric condition.

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