Get to Know Us
New Patient Referrals
Please download and complete the QHHS Patient Referral Form and submit via Fax or Email per below. We are happy to take this information directly over the phone or through email as well.
Intake Email : email@example.com
Intake Fax: 603-552-5302
Intake Phone: 603-552-5300
Please do not hesitate to call us directly with any questions concerning new patient referrals or the referral and intake process.
Insurance - NH Medicaid, Commercial, LTC Insurance and Private Pay patients accepted