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Nashua West Adult Medicine

Amherst Family Practice providers
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After Hours Care

Emergency

Billing & Insurance

Forms

Prescription Refills

Referrals

What is a P.A.?

Your Medications

 

Forms

You can save time on the day of your appointment by printing the following forms if needed and bringing them with you to your appointment. The form file is viewable with Adobe Acrobat Reader.

 

Release of Records — complete this form if you would like to transfer records from another physician to us or transfer your records with us to another provider.

 

Privacy and Protected Health Information - Protecting your health information is your right and our responsibility. Our Notice of Health Information Privacy Practices booklet explains how we work together to ensure your privacy.

 

 

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