Forms to start ZERONA® treatments

Please download and print the form you were advised when making your first appointment, and bring the completed forms with you when you come in for your service.


David J. Domenichini, M.D.
(click for directions)
1216 Farmington Ave.
West Hartford, CT 06107

Telephone (860) 561 1007
Fax (860) 561 1222


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