Here you will find a variety of patient forms that can be opened then printed by clicking on each link.


New Patient Forms

Family Health New Patient Packets

CFH New Pt Packet

Hormone Health New Patient Packets

CHH New Male Pellet Packet 

CHH New Female Pellet Packet

Customized Health & Wellness New Patient Packets (Aesthetics & skin treatments)

Skin Health NP Packet

 


Records Releases and Requests

Here are our record release / requests; please pick the correct form based on your needs.

Family Health Records Release & Request 

Records Exchange Between Family & Hormone Health

Hormone Health Release & Receive Records


NH Therapeutic Cannabis

Below is a link to the NH Therapeutic Cannabis applications. All patients applying for certification will need a Patient Application and the rest of the forms are only required  if you plan to have a caregiver buying / dispensing for you because you are unable.

https://www.dhhs.nh.gov/programs-services/population-health/therapeutic-cannabis/therapeutic-cannabis-applications-and