Search this site

Easily access and complete essential new patient forms for Amoskeag Health. Download, print, and fill out forms needed for medical records, authorization, and more. Assistance is available for any questions. PATIENT FORMS Below, find links to common forms that you can print and complete as needed. If you need any help, please call 603-626-9500. Your medical record is considered Protected Health Information (PHI), which means that it's covered by health privacy laws; we always need your written permission to release it. As a patient of Amoskeag Health, you are protected by a set of rules and regulations called your "Patient Bill of Rights." You can always view pieces of your medical record, like recent test results, on the Patient Portal . However, if you need more information than what you can see in your account, you can request a copy through the Release of Information/Authorization for Disclosure of Health Information form below. There is no charge to send your medical record to a hospital or another physician. If you want to authorize someone like a spouse or relative to have access to your medical records, you may fill out the Authorized Representative Consent Form below. Accessing Your Medical Records Release of Information - English Release of Information - Español Release of Information/Authorization for Disclosure of Health Information Consent For Treatment - English Consent For Treatment - Español Consent For Treatment Form Authorized Representative Consent Form - English Authorized Representative Consent Form - Español Authorized Representative Consent Form Notice of Privacy Practices - English Notice of Privacy Practices - Español Notice of Privacy Practices Mail Completed Forms to: Medical Records Amoskeag Health 145 Hollis Street Manchester, NH 03102 Or fax 833-448-1486. Explore Other Helpful Pages Pay Your Bill Pay Your Bill Language Assistance Pay Your Bill Become A Patient Financial Assistance Transportation Assistance Language Assistance

Find parking information for our location at 1245 Elm Street, The Dr. Selma Deitch Center for Children and Teens. Visit us for comprehensive care and support in a convenient location. 1245 ELM STREET Parking options for Amoskeag Health patients at 1245 Elm Street: Free parking spots for patient parking are on Church Street, behind Amoskeag Health (limited to spots #32 to #37, painted green), and are shown in green on the map below. Paid metered parking in front of Amoskeag Health and the immediate area, shown on map below in blue. Please note: Parking spaces on Church Street that are not marked for patient parking, as well as those in the Pearl Street lot, are reserved for permitted vehicles. Parking in the areas marked in red on the map may result in your vehicle being towed. PARKING

Get in touch with Amoskeag Health through our Contact Us page. Find contact information for our offices, send us a message, and learn how to reach our team for any questions or assistance. CONTACT US Need to talk to a doctor when we are closed? Please call 603-626-9500 to reach our answering service. We have a 24-hour on-call doctor who will return your call as soon as possible. In cases of inclement weather, Amoskeag Health will announce all closures and delays on our website, WMUR Channel 9 (television), and the WMUR website . We also announce closures and delays on our Facebook page. Mailing Address: 145 Hollis Street Manchester, NH 03101 Main Phone: 603-626-9500 Fax Number: 833-448-1486 Human Resources Fax Number: 351-212-2431 New Patient Direct Line: 603-935-5336 Billing Number: 603-935-5205 Referral Department: 603-935-5385 Prior Authorization Department: 603-935-522 5 Donation Question?: 603-851-6237 CONTACT US WHO SHOULD I CALL? Non-Life-Threatening Emergencies: First, Call Amoskeag Health For urgent and immediate care, first call Amoskeag Health at 603-62 6-9500 . If it is after hours, leave a message with the answering service and a 24-hour on-call doctor will return your call as soon as possible. Call Amoskeag Health if you have: Cough, sore throat, stuffy nose, or minor fever Minor headache Nausea, vomiting, diarrhea, or constipation Skin rashes or minor burns Mild asthma Ear or sinus pain, congestion Eye pain or irritation Back or joint pain Bumps, cuts, scrapes, strains Difficulty sleeping or fatigue Burning with urination Possible sexually transmitted disease Medication needs By calling your Amoskeag Health Provider for medical needs that are non-life-threatening, you will avoid an expensive and unnecessary hospital visit. Life-Threatening Emergencies: Call 911 or go to the hospital Unnecessary hospital visits or calling 911 wastes your time and money. Use the emergency room only in life-threatening situations or disabling conditions. Call 911 or go to the hospital if you have: Difficulty breathing Possible broken bones Chest pain or pressure Sudden dizziness, weakness or severe headache Sudden or severe pain Severe reaction to an insect bite or medication (especially if having trouble breathing) Bleeding that will not stop Constant vomiting or diarrhea Coughing or vomiting blood Suicidal or homicidal thoughts Loss of consciousness or head trauma High fever or fever with convulsions Poisoning (Call Poison Control at 1-800 -222-1222 ) Gunshot/stab wound Active labor If you or your child is experiencing any of these symptoms, call 911 or visit the hospital immediately.

Meet the leadership team at Amoskeag Health. Learn about the dedicated professionals guiding our organization with their expertise and vision. Discover how their leadership drives our commitment to providing exceptional healthcare to the community. LEADERSHIP Meet Our Senior Leadership Team These dedicated professionals retain incredible medical staff, efficient administration, and cost-effective operations across Amoskeag Health's multiple physical locations. They work tirelessly to ensure that the highest quality healthcare is delivered to nearly 15,000 patients throughout Greater Manchester each year. Kris McCracken President/CEO Learn More Dr. Gavin Muir Chief Medical Officer/Chief Quality Officer Learn More Betsy Burtis Chief Operating Officer Learn More Maureen Cassidy Chief Nurse/Chief Compliance Officer Learn More Liz Ottolia Interim Chief Financial Officer Learn More Sarah Potter Sr. Director of Human Resources & Organizational Development Learn More

Explore financial assistance options at Amoskeag Health. We offer support to help you manage healthcare costs and access the services you need, ensuring you receive the care you deserve without financial barriers. FINANCIAL ASSISTANCE We accept most insurance plans at Amoskeag Health. Many insurance companies make agreements with healthcare providers to offer lower rates to patients; this is called being "in-network." Please contact your administrator or insurance company to ensure that we are in-network with your health insurance plan. At Amoskeag Health, we do our best to help patients understand the health insurance and assistance programs available to them. Below, we have more information about our Sliding Fee Scale and Case Management support services. At the bottom of the page, you will find links to the Healthcare Marketplace and Medicaid. If you are having trouble signing up for either of these services, we can connect you with someone who can help. At this time, we are unable to assist with Medicare applications for seniors. However, we highly recommend ServiceLink or you may call 211 . For more information about any of the services on this page, please contact us at 603-626-9500. Do You Need Affordable Health Insurance? Amoskeag Health offers services on a sliding fee scale that has five levels of adjusted fees based on patient household size and income. Uninsured or underinsured patients who qualify for the sliding fee scale will be issued a Medical Discount Card to receive a discount for services at all Amoskeag Health locations. 2026 Federal Poverty Guidelines Read More About Sliding Fee Scale Levels Sliding Fee Scale Application (English) Sliding Fee Scale Application (Español) Sliding Fee Scale Application (Português) Sliding Fee Scale Amoskeag Health offers assistance to eligible patients in accessing prescription medication. Refill Coordinators at Amoskeag Health manage patient prescription refills and enroll qualified patients who lack prescription drug coverage into medication assistance programs to help patients find the lowest cost for select medications. Amoskeag Health Low-Cost Formulary: This program is available at the Walgreens locations in Manchester and Hooksett . Patients must have an Amoskeag Health discount card that is not expired that they MUST show to the pharmacist to confirm they are eligible for the Amoskeag Health Low-Cost Formulary. This program is limited to the medications listed on the formulary. Low-Cost Prescription Program At Amoskeag Health, we support your physical and mental health. We understand the challenges to navigate housing, medical insurance, and access to affordable food and services. That's why we have dedicated case managers who can help you. If you qualify, case managers can help you access a variety of public benefits, including: TANF (Temporary Assistance for Needy Families: a time-limited program providing basic financial assistance to help families get back on their feet) WIC (Women, Infants, and Children: a program that ensures proper nutrition for mothers and their children) Food stamps Medicaid Unemployment Social Security Additionally , case managers can help patients apply for rental assistance or public housing/section 8 and connect them with NH Legal during any suspected housing discrimination. In many cases, they help patients navigate healthcare insurance through Medicaid and the Healthcare Marketplace. All Amoskeag Health patients are able to connect with case management. To access these services, simply talk to your Primary Care Provider at your next appointment or call 603-626-9500 . Government Assistance Programs Health Insurance Marketplace Medicaid Information Government Health Insurance Resources Explore Other Helpful Pages Pay Your Bill Pay Your Bill Pay Your Bill Language Assistance Pay Your Bill Transportation Assistance

Discover upcoming events at Amoskeag Health, including health fairs, educational programs, and community gatherings designed to support wellness and health education. Stay informed about our latest activities and join us in promoting a healthier community. EVENTS Stress Recovery Group An online group for patients ages 18 to 49 focused on healing from stress. Learn how stress affects the mind and body, understand how your nervous system works, connect with others who’ve had similar experiences, and build skills to reduce anxiety and feel safer in your body. Ongoing virtual group held at 1pm every Monday. Call (603) 935-5280 to sign up! Healing from Grief & Living Through Loss Group Share ideas, stories, and healing strategies in a welcoming community environment. In this six week series, learn about the different stages and types of of grief, identify “stuck points,” or thoughts that make it harder to heal, and work through your own personal grief and healing experience. Location: Amoskeag Health, 145 Hollis Street, Manchester, NH; 1st Floor, Conference Room A Dates: Wednesdays, September 30th to November 4th from 8:30 AM to 10:00 AM (9/30, 10/7, 10/14, 10/21, 10/28, and 11/4) This group is limited to 10-12 individuals. Talk to your provider about joining the next session, or reach out via e-mail with interest! Sign Up By 9/25! Caregiver Mindfulness Group Therapy Are you caring for a child who struggles with attention, impulsivity, emotional regulation, sensory needs, social interactions, communication, or other behavioral or developmental challenges? This group provides a supportive space for caregivers to connect over shared experiences and openly discuss common difficulties like carrying the emotional weight of caregiving. Informed providers and case managers will share guidance on coping strategies to provide relief and recognize and manage emotions, as well as resources to support logistical needs. Formal diagnosis is not required; open to all Location: Amoskeag Health, 145 Hollis Street, Manchester, NH; 1st Floor, Conference Room A Dates: Every other Tuesday, October 20th to December 15th from 9:00 AM to 10:00 AM (10/20, 11/3, 11/17, 12/1, and 12/15) Call (603) 935-5280 to sign up! Expressive Arts Group for Children Open to ages 6-11, this group led by our School-Based Behavioral Health Clinicians provides children with a safe, supportive space to connect with each other and express themselves. Sessions include exploration of art, music, and movement that is rooted in therapeutic intervention. Location: Amoskeag Health, 1245 Elm Street, Manchester, NH Stay tuned for info on dates for our next session! Call (603) 626-9500 x 5734 with interest! A Matter of Balance Are you age 65 or older and concerned about balance or falling? Our Matter of Balance program is designed specifically for older adults to help reduce fear of falling, improve balance and strength, and increase confidence in everyday activities. This proven program offers practical strategies to help you stay active, safe, and independent. Dates: Current session is full! Reach out for availability for all upcoming sessions. Location: Amoskeag Health,145 Hollis Street, Manchester, NH Call (603) 792-5089 to register! Cooking Matters for Adults Offered by Cooking Matters NH, a Program of the NH Food Bank Are you looking to prevent or manage heart disease or diabetes? This free online course offers information that can help support healthy lifestyle changes. Learn about nutrition, healthy eating and cooking, food safety, meal planning and food budgeting. Registration is required; you may only register for one course. Registrants agree to attend at least 4 of the 6 weekly classes. Attendees receive a FREE $10 grocery store gift card for each week they participate. Virtual course series options available: Mondays, November 9th to December 14th 4:30 PM to 6:00 PM (11/9, 11/16, 11/23, 11/30, 12/7, and 12/14) Register today! Past Events Morning Matters 2026

MEDICAL PROVIDER BIOGRAPHY Melissa Eastman MSN, APRN, FNP-BC Family Practice Primary Office Location 145 Hollis Street Role/Year Joined Amoskeag Health Family Nurse Practitioner, Joined 2026 Treatments & Services Comprehensive family medicine and primary care across all lifespans. Routine wellness exams, chronic disease management, preventative care, and acute care. Education MSN, Family Nurse Practitioner, Rivier University (2026) BSN, Waynesburg University (2013) Registered Nurse, Citizens School of Nursing (2010) CNA vocational program, Nashua High School South (2007) Training Clinical Rotations & Practicum Training (2024–2025): Completed comprehensive primary care, urgent care, and OB/GYN clinical rotations through Dartmouth. Hitchcock Clinics (Hudson and Nashua, NH) and community sexual wellness/senior care clinics. Board Certifications Family Nurse Practitioner Certified (FNP-BC) American Nurses Credentialing Center (ANCC) Registered Nurse (RN) NH Clinical Interests Holistic and patient-centered primary care for patients of all ages and stages of life.Women's health, maternal care, and sexual wellness. Community health promotion and preventative medicine. Languages Spoken English Back to Medical Providers

MEDICAL PROVIDER BIOGRAPHY Katherine Cherna-Kelleher RN, MSN, FNP - C Family Medicine Primary Office Location 145 Hollis St. Year Joined Amoskeag Health 2023 Education McGill University Boston College Board Certifications American Academy of Nurse Practitioners Clinical Interests Family Medicine Languages Spoken English French Back to Medical Providers

MEDICAL PROVIDER BIOGRAPHY Mary Cullen DO Family Practice Primary Office Location 145 Hollis Street Role/Year Joined Amoskeag Health Staff Physician, 2010 Education Bachelor of Science in Medical Biology, University of New England (2003) Doctor of Osteopathic Medicine (D.O.), University of New England (2007) Post-doctoral training NH Dartmouth Family Medicine Residency, Concord, NH Board Certifications American Board of Family Medicine (2010) Clinical Interests Pediatrics Obstetrics Addiction treatment Languages Spoken English Back to Medical Providers

BEHAVIORAL HEALTH CLINICIAN BIOGRAPHY Kara Barnes LICSW Clinical Coordinator Primary Office Location 1245 Elm Street Year Joined Amoskeag Health 2022 Treatments & Services Individual and family therapy, Child Parent Psychotherapy (CPP), Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), Motivational Interviewing, Solution-Based Therapy and Casework Education (2006) Bachelor's in Social Work, University of Maine (2009) Master's in Social Work, University of Southern Maine Board Certifications Licensed Independent Clinical Social Worker (LICSW) Clinical Interests Early childhood and developmental trauma, attachment, children and families involved in the child welfare system, foster care and adoption Languages Spoken English Back to Behavioral Health Clinicians

MEDICAL PROVIDER BIOGRAPHY Christopher Diamond MD Family Medicine Primary Office Location The Dr. Selma Deitch Center for Children and Teens Role/Year Joined Amoskeag Health 2025 Treatments & Services Full family medicine care from infants to adolesents to later life Education B.A. Anthropology, Wesleyan University, Middletown, CT (1981-1985) Doctor of Medicine, Mount Sinai School of Medicine, New York, NY (1990-1994) Post-Doctoral Training: University of Vermont Family Medicine Residency (1994-1997) Board Certifications Board Certified American Board of Family Medicine Clinical Interests Behavioral Health, General Pediatric Care, Sports Medicine Languages Spoken English Back to Medical Providers

MEDICAL PROVIDER BIOGRAPHY Katherine-Starr Goodwin PA Family Practice Primary Office Location 145 Hollis Street Role/Year Joined Amoskeag Health 2022 Education Bachelor of Science in Biology, Milligan University (2019) Master of Science, in Physician Assistant Studies, Milligan University (2022) Board Certifications NCCPA Board Certified Clinical Interests Pediatrics Women's Health Languages Spoken English Back to Medical Providers