Resources & Services

 

 

Forms

Below is a list of some frequently used forms which you may find useful.  Click on a link to open, save, and print the form.

Requesting Medical Records

After completing either the Release of PHI form or the Designation of Personal Representative form, please Fax to (603) 354-5478 or mail to:
Medical Records Dept.
Cheshire Medical Center
590 Court St
Keene, NH 03431

Business/Financial
Preparing For Your Visit
Medical Clearance