Welcome former Salmon Falls patients! Salmon Falls is directing former patients who need to request their medical records, to Morgan Records Management. Please CLICK HERE to visit their site and then click on “Request My Records” to fill out a request form.
Below are forms you may need as a DMC Primary Care patient. If you have questions or are looking for information not listed here, please call us at 603.537.1300. Our Medical Records main fax number is 603.537-1355.
NEW PATIENT PACKET (ALL DOCUMENTS):
Please CLICK HERE to fill out all documents in the NEW PATIENT PACKET electronically.
INDIVIDUAL FORMS:
Medical Records Release Forms:
- Electronic Version: Medical Release of Information Form
- Printable Version: Medical Release of Information Form
DMC Patient Code of Conduct Forms:
DMC Consent for Non-Parent/Guardian to Accompany a Minor to Medical Appointment:
DMC Financial Policy:
DMC General Consent for Treatment:
DMC No Show Policy:
DMC Notice of Patient Privacy Practices
Notice of Patient Privacy Practices
DMC Personal Information Release:
Electronic Version: Personal Information/Permission to Speak
Printable Version: Personal Information/ Permission to Speak
DMC Preventative Health Visits – Scope of Insurance
- Electronic Version: Preventative Health – Scope
- Printable Version: Preventative Health Visits – Scope