New Patients

New Patient Forms

Access our new patient forms here if you prefer to fill out in advance.  Please bring pre-filled forms to your first appointment or arrive 15 minutes early to fill out the forms in our office.

Download Our New Patient Forms (PDF)

Admission Form

Medical History

Medication List

Center Consent for Treatment, Disclosure and Financial Liability

Medicare Benefits, Assignment and Patient Responsibility

Accepted Insurances

We accept a wide range of insurance, including the most common below.  With commercial insurance carriers, there are many variations, so we ask that you kindly call us to verify your provider coverage before seeking treatment.  If you don’t see your insurance listed, please contact us and we would be happy to check if your specific insurance is accepted.  We are a medicare-certified provider.

Traditional Medicare

  • AARP Medicare
  • Aetna Medicare
  • Blue Cross Medicare (some – please call to verify)
  • ConnectiCare Medicare
  • GHI
  • Humana
  • Medicare Railroad
  • Tri Care
  • United Health Care Medicare

Commercial Insurance **please call to verify, as not all policy variations are accepted

  • Aetna
  • Anthem (many)
  • Blue Cross Blue Shield (many)
  • Cigna (some)
  • ConnectiCare
  • Harvard Pilgrim
  • Lumis
  • United Healthcare (most)

Frequently Asked Questions

You will find useful information here about what to expect and preparing for your first and ongoing visits to our clinic.

Download our new patient FAQs (PDF)

Cancellation Policy

Patients who fail to show or do not notify the office within 24 hours of their scheduled appointment time, shall be subject to a “No Show/Cancellation” fee of $55. These fees are not covered by insurance and are the sole responsibility of the patient. To cancel or change your appointment, please call 203.438.7862 to speak to someone or leave a message with your name, appointment date and cancellation reason or request to reschedule.

Main Location

RVNAhealth
27 Governor Street
Ridgefield, CT map ››
Phone: (203) 438-7862

Hours:
M, W 8:15 am–6 pm;
T, Th, F 8:15 am–5 pm;
Some weekend appointments

GPC Location

Golf Performance Center
824 Ethan Allen Highway
Ridgefield, CT map ››
Phone: (203) 438-7862

Hours:
M, W 8:15 am–6 pm;
T, Th, F 8:15 am–5 pm;
Some weekend appointments

To schedule an appointment or inquire about therapy services:

OUTSIDE OF HOME

For therapy services at one of our facilities, call (203) 438-7862
or email rehabcenter@rvnahealth.org

IN HOME

For therapy services through our home health services, call (203) 438-5555 or email intake@rvnahealth.org