Patient Forms and Resources

Patient Documents

PDF Reader (Required to open documents)

Patient Handbook English

New Patient Intake Packet

Prenatal Intake Packet English

Prenatal Costs

NH-Law-Minor-Consent-42CFR

NHHK Patient Checklist

Health Information Release Form English

Health Information Release Form Indonesian

Sliding-Fee-Application


Patient Resources

A common question that we receive from some of our patients is “Are you on the bus route?” The answer is “Yes, we are conveniently accessible via the COAST bus route.”
For bus schedules and information visit www.coastbus.org/schedules_maps.html.
We are also an active member of ACT’s new Community Transportation group. Their directory can be found on the right-hand sidebar of the following page: South East NH Rides.
If you cannot afford bus fare, please DO NOT cancel your appointment. Call us at 603-749-2346 to arrange an alternative transportation plan.


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