Contact Form The staff of the Connecticut Physical Therapy Association is always ready to assist both the general public and our members. Use this form to submit any questions or comments you may have regarding our members or the association in general or to join our vendor mailing list. Please tell us about yourself: (* denotes required fields) Organization First Name *          Last Name * Address Suite City State       Zip       Phone * Fax Website Email * Additional Comments:       Copyright © 2006-2008 Connecticut Physical Therapy Association. All rights reserved. | Disclaimer