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!

If you are/were a patient of one of the providers listed below at another practice, you can click on a prefilled release form.

   *PATIENTS OF DR. PATRICK FOX: PLEASE CLICK HERE

  *PATIENTS OF DR. MATHEW SAWYER: PLEASE CLICK HERE

  *PATIENTS OF SARA CARRIER, PA-C: PLEASE CLICK HERE (FOR ADULTS) OR CLICK HERE (FOR MINORS)

  *PATIENTS OF WRIGHT & ASSOCIATES (CONCORD): PLEASE CLICK HERE

 

Release of Medical Records Form:

COVID-19 Vaccination Questionnaire:

Other Forms for All Patients: