Make an appointment

North Coast Family Health

500 Market Street, Suite 1F,
Portsmouth, NH 03801

Phone: 603-427-6800
Fax 603-427-2801

Please download and print the following forms to fill out and sign.
Then please mail or fax the forms to our office ahead of time or bring to your appointment:

Intake form		Adobe PDF		MS Word Document
Consent to Treat form		Adobe PDF
Office Policy form		Adobe PDF		MS Word Document

Adobe PDF - you will need the free software, Adobe Reader. If this software is not already installed on your computer, go to the Adobe web site to download Acrobat Reader.

MS Word Document - you must have Microsoft Word or a compatible program on your computer to use this option.