NORTHWEST HILLS YOUTH AND FAMILY SERVICES INC.

In Home Services Available in Litchfield, New Haven & Hartford Counties.

In Office Locations:

20 Main Street 36 Main Street 61 Arrow Road, #105L

Watertown, CT 06779 Or New Milford, CT 06776 Or Wethersfield, CT 06109

To make a referral please fill out the form below and fax or email to the following:

Fax to: 860-799-4156

To download referral form Click Below: (if it does not download right click and open in new window)

Referral Form

Intake Forms to be Filled Out

Release of Information

Consent for Telehealth Services

HIPPA/Consent to Treat & Bill

Patient Information Form

Child Detailed Intake Form

Adolescent Detailed Intake Form

Adult Detailed Intake Form

Request More Information