Online Patient Forms
 
24/7 Online Access
Request Prescription Refills, Appointments and More...

For your convenience, we have added Online Patient Forms to each Core physician practice web site. These patient forms offer you the opportunity to make any of the following requests online, securely, anytime, day or night. 

  • Prescription Refill Request
  • Medical Record Release
  • Referral Request
  • Appointment Request
  • Billing Assistance

Please click on your physician's office name below to learn more

 Atlantic Urology Kimberly Marble, MD 
 Daniel Nadeau, MD KingstonHealth
 Elizabeth Buchanan, MD Kingston Pediatrics
 ENT and Audiology Kristin Lee, MD
 Epping Health Larry Pressman MD
 Exeter Family Care Michael Lannon, MD
 ExeterHealth Family Practice Michael Wu, MD
 Exeter Internal Medicine Mill Pond Family Practice
 Exeter Pediatric Associates PlaistowHealth
 General & Vascular Surgery Pulmonary & Sleep Medicine
 HamptonHealth Rheumatology Services
 Integrated Orthopaedics SeabrookHealth
 Kent Logan, MD Seacoast Family Practice

Forms offered may vary by practice

We are committed to protecting your privacy and creating a safe and secure online environment. To this end, the information you provide to us on our forms is secured with 128-bit SSL encryption technology and is kept confidential. For more information, please see our Notice of Privacy Practices or contact our office.

 




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