Following 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.

WELCOME CONCORD PATIENTS! WE ARE VERY EXCITED TO HAVE YOU JOIN THE DMC FAMILY!

  *CURRENT PATIENTS OF DR. BENJAMIN COLBY: PLEASE CLICK HERE FOR A PREFILLED MED RELEASE FORM

  *CURRENT PATIENTS OF DR. PATRICK FOX: PLEASE CLICK HERE FOR A PREFILLED MED RELEASE FORM

  *CURRENT PATIENTS OF DR. MATHEW SAWYER: PLEASE CLICK HERE FOR A PREFILLED MED RELEASE FORM

Release of Medical Records Form:

COVID-19 Vaccination Questionnaire:

Other Forms for All Patients: