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New Patient Information

Thank you for choosing Wentworth Health Partners Seacoast Integrative Medicine for your integrative primary care and integrative medicine services.  As a new patient to our practice, please take a moment to review the documents below.

Completing the Registration Form, Health Questionnaire and Protected Health Information Release Authorization Form in advance of your first appointment will facilitate establishing your care at our practice and will make your first appointment more effective and efficient.  You will also find a copy of our Joint Notice of Health Information Practices that explains how we utilize your health information.  Additional forms that are frequently requested by patients can be found on the Patient Forms page.

You will find directions to our practice on the Directions tab and important information about our practice on the Policies tab of this website. If you have any questions regarding the practice or the forms below, please do not hesitate to contact us at (603) 516-4255.

New Patient Welcome Letter

Registration Form

Health Questionnaire

Protected Health Information Release Authorization Form

Joint Notice of Health Information Practices

Again, thank you for choosing Wentworth Health Partners Seacoast Integrative Medicine for your health care needs.

©2009 Wentworth-Douglass Physician Corp., PO Box 458, Dover, NH 03821-0458