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On-line Forms
You will find these forms helpful for registering as a new patient with
Nashua Medical Group, understanding your rights as a patient, and having
your records forwarded to Nashua Medical Group from another doctor’s
office.
New
Patient Registration Form (pdf
file)
Fill out this form to register as a new patient with Nashua Medical Group.
See our New Patient page for more details.
Patient's
Rights and Responsibilities(pdf
file)
New Hampshire RSA 151:21 sets forth the Patients' Bill of Rights, which
describes the rights and responsibilities of each patient admitted to
a New Hampshire care facility.
Authorization to Release Medical Records-Incoming
(pdf file)
Fill out this form and send it to your former provider to authorize that
office to release your medical information to Nashua Medical Group.
Authorization
to Release Medical Records-Outgoing (pdf
file)
Fill out this form and send it to Nashua Medical
Group to authorize the release of your medical information to a new provider.
St. Joseph Healthcare Privacy Statement
St. Joseph Healthcare’s Privacy Statement is a comprehensive document
designed to inform you about the guidelines and regulations that govern
St. Joseph Healthcare and it's affiliates use of your Personal Medical Information.
http://healthnet.umassmed.edu/topics/endoflife.cfm
http://www.healthynh.com/downloads/endoflife.pdf
The above web sites are good resources for
information on advance directives and living wills.
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