We are now Essex Internal Medicine!

Dr Michael Baldwin, Dr Alan Spagnola and I have formed a group medical practice registered as a professional corporation under Connecticut statutes.  The reason for this change is to create the corporate structure needed to fully exploit emerging information technologies to improve medical care.  Click for more information about our exciting future

Health information found on the site has been carefully reviewed. Links are provided only to high quality sites maintained by reputable organizations and institutions. High priority has been given to sites that are based on the best available evidence for the information given.

About prescriptions and prescription renewals.

Resources for staying in your home as you age. This site is also valuable for spouses, children and other caregivers.

A useful booklet is available: Preventing mental decline with aging.

Office forms can be downloaded.  The most commonly used forms can be filled in on your computer and then saved and printed.

House calls. The site reflects a commitment to preserving and expanding a disappearing way of providing care, the house call. If you or someone you know finds travel difficult please review the information on the home visit page.

Request an appointment You can request an appointment via email but please use this only for non-urgent problems.  The email is checked only once a day.

Quality measurement.  Externally validated measures of quality and cost efficiency for Dr Hornbake’s practice is now available.