Patient Forms

The green box below are forms for well visits. Purple box has links regarding vaccines and the red box are forms that you may also need.


Immunization Forms

Well Visit Forms

Miscellaneous Forms


Contact Us

(603) 437-1003

We are located in Building E at 25 Buttrick Road in Londonderry. Buttrick Road is off Mammoth Road (Route 128) just north of the intersection of Routes 128 and 102.  From the east and west, take Route 102 turning north onto Route 128. Two tenths of a mile is Buttrick road, turn right, travel half a mile passing the Elliot Urgent Care on the left and Buttrick Road is on the right.

From the north and south, take Interstae 93 to exit 4.  Take Route 102 west to Route 128. Follow above directions to Buttrick Road.  Click here for a map.

*
*
*
*

Address:

Building E at 25 Buttrick Rd Londonderry, NH 03053

Phone:

(603) 437-1003

Hours

Monday - Thursday: 7:30am - 7pm, Friday: 7:30am - 5pm, Saturday (sick visits only): 9:00am - 11:30 am