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.