You can request an appointment or self-schedule an appointment by using the forms below.
If you are looking to cancel an appointment, please click here.

Primary Care Office Visit (Schedule)

You can self-schedule an appointment by completing this form and selecting an available time with your provider.

Primary Care Office Visit (Request)

Fill out this simple form to request an appointment with your provider at one of our convenient DMC Primary Care locations. We’ll call or email you to complete your request.

Telehealth Appointment

Not able to come into our office? Request a telehealth visit with a provider from wherever you happen to be. We’ll call or email you to complete your request.

Mammography Appointment

You can request Mammography Appointments with Derry Imaging online here. You may also call to request a mammogram: (603) 537-1363.