Patient Registration Forms

If you are a new patient, please fill out the registration forms listed below in advance of your appointment to assist the staff in making sure that we have all the information necessary to provide you with quality care and treatment. Please bring the completed forms with you to your appointment.

Registration Forms

If you are a patient looking for medical records from one of the following practices:

  • White Mountain Medical Center
  • Family Care of Farmington
  • Barrington Family Practice
  • Somersworth Primary Care
  • Skyhaven Internal Medicine
  • Lilac Women’s Health
  • Rochester Rheumatology
  • Rochester Infectious Disease
  • Strafford Cardiology
  • Diabetes and Endocrine Center
  • Appledore Ear, Nose and Throat

Please call 603.766.7552 or email amg.medrec@hcahealthcare.com to inquire about obtaining your records.