Primary Care, Pediatric Care and Dental Care
Complete these new patient forms online:
Or, you can print the new patient forms or pick them up from us during business hours. Once they are complete, return them to us in one of these ways:
- Drop them off
- Mail them to White Mountain Community Health Center, 298 White Mountain Highway, Conway, NH 03860
- Fax them to us at (603) 447-4846
You'll receive a call from a member of our staff within two business days to set up an appointment to establish care. If you don't, please call us to make sure we received your forms.
If you want to apply for our Sliding Fee Discount Program (SFDP), fill out the application as well. You can download it here or stop by and pick up a paper version. The SFDP can be used in combination with insurance to help with copays and deductibles, or by uninsured patients.