Patient Information Request Form

Getting Started

Thank you for your interest in becoming a patient, or for being a patient already! You can use this form to request intake paperwork and/or ask a question.

Please note: As of Summer 2023, we are accepting new pediatric and prenatal patients at all locations. We are scheduling new adult primary-care patients in our Somersworth location, but first available appointments for new patients are about six months out.  We are not currently scheduling new adult patients in our Portsmouth location. 

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Now through January 15th, 2024
Our certified enrollment counselors can help you explore your options for getting insurance. Learn more.