Patient Information
To schedule, cancel, or reschedule an appointment, please call our office at 603-663-3222 or log into your MyChart account. If you do not have a MyChart account, please click here to sign up.
Insurance Card, including your policy number and/or Medicare/Medicaid card.
Co-payment is expected when you check in. For your convenience we accept checks, cash, Visa, Mastercard, Discover, and American Express.
Prescription Medication(s) in their original bottles or a list of all medications, including over-the-counter medications, vitamins, and supplements, and the amounts you take.
To refill a prescription, please call our office at 603-663-3222 or log into your MyChart account. If you do not have a MyChart account, please click here to sign up.
Please allow 48 hours to refill medications.
To request a referral, please call our office at 603-663-3222 or log into your MyChart account. If you do not have a MyChart account, please click here to sign up.
Resources
Use this PDF to guide the referral process.
ADHD- Attention Deficit Hyperactivity Disorder
- Children and Adults with ADD
www.CHADD.org - ADD Warehouse
www.addwarehouse.com
Autism Spectrum Disorders/ Asperger Syndrome
- Autism Speaks
www.autismspeaks.org
Development - Screening
- Learn the Signs- ACT Early (Centers for Disease Control)
www.cdc.gov/ncbddd/actearly/index.html
Chronic Conditions and Disabilities
- American Academy of Pediatrics Parents’ Website
www.healthychildren.org/English/health-issues/pages/default.aspx
New Hampshire Supports
- Parent Information Center of NH
picnh.org - New Hampshire Family Voices
www.nhfv.org - look for their Lending Library (http://nhfv.org/how-we-can-help/lending-library)
Learning Disability
- National Center for Learning Disabilities
www.ncld.org - Learning Disability Association
ldaamerica.org
Tic Disorders/ Tourette’s Syndrome
- Tourette’s Syndrome Association
www.tsa-usa.org
Important Documents
If you would like a copy of your medical record, please download and complete the form below. Completed forms can be mailed, faxed, or brought back to our office.
Contact Us
Please contact us for questions about services available at Elliot Developmental/Behavioral Pediatrics.