MANCHESTER YOUTH WELLNESS AND PREVENTION COLLABORATIVE Amoskeag Health is proud to partner with Makin' It Happen, the YMCA of Greater Manchester, and the Boys and Girls Club of Manchester to offer the Botvin LifeSkills program to at-risk youth in our community. This evidence-based program, led by trained facilitators, teaches young people important life skills to help them make healthier choices and reduce risky behaviors. Makin' It Happen also coordinates the Substance Use and Mental Health Prevention Collaborative, a group of community partners who meet monthly to explore new ways to expand prevention programs in Manchester. These partners are key to the success of the Botvin LifeSkills program, playing a vital role in its implementation. Amoskeag Health has also teamed up with Catalyst Evaluation Group, experts in data collection and evaluation. This partnership ensures we can track progress, report findings, and keep the community, stakeholders, and SAMHSA up-to-date on the program's outcomes. 2026 Strategic Action Plan 2025 Program Annual Report 2024-2025 Botvin Lifeskills Program Evaluation Please check back regularly for the latest information on this important initiative and its impact on our community. Interested in Joining the Manchester Youth Wellness and Prevention Collaborative as a Stakeholder? Have Questions About Our Prevention Framework and Programs? Please contact us by email at communityinitiatives@amoskeaghealth.org. This project is supported by the Substance Abuse and Mental Health Services Administration (SAMHSA) of the U.S. Department of Health and Human Services (HHS) under grant number 5H79SP083836-02 for the Community-Based Strategic Prevention Framework. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement by, SAMHSA, HHS, or the U.S. Government. Building Stronger Futures: A Collaborative Approach to Prevention

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

MEDICAL PROVIDER BIOGRAPHY Nicolle Hyder FNP - C Nurse Practitioner Primary Office Location 145 Hollis St. Role/Year Joined Amoskeag Health Nurse Practitioner, 2023 Education Bachelor of Science in Nursing, Grand Canyon University Master of Science in Nursing (MSN), Family Nurse Practitioner (FNP), Rivier University Clinical Interests Pediatrics Family Practice Languages Spoken English Back to Medical Providers

MEDICAL PROVIDER BIOGRAPHY Kristin Logan PNP - BC Pediatrics Primary Office Location 1245 Elm Street, The Dr. Selma Deitch Center for Children & Teens Role/Year Joined Amoskeag Health Pediatric Nurse Practitioner, 2013 Treatments & Services Pediatric Primary Care Education Bachelor of Arts, Colgate University (2011) Master of Science in Nursing (MSN), Boston College (2013) Board Certifications Pediatric Nursing Certification Board (2013) Clinical Interests Adolescent Health and Contraceptive Counseling Newborns Asthma School and Development Languages Spoken English Back to Medical Providers

MEDICAL PROVIDER BIOGRAPHY Amy Siemanowicz APRN Nurse Practitioner Primary Office Location 145 Hollis Street Year Joined Amoskeag Health 2023 Treatments & Services Family Medicine Education Masters in Nursing (MSN) Board Certifications FNP-BC in Family Medicine Clinical Interests Family Medicine, From across the life span from birth to death. Languages Spoken English Back to Medical Providers

MEDICAL PROVIDER BIOGRAPHY Kaitlyn Bailey PA-C Family Medicine Primary Office Location 145 Hollis St. Role/Year Joined Amoskeag Health Physician Assistant/2024 Education Bachelor of Science in Health Sciences,Saginaw Valley State University Master of Physician Assistant Studies (MPAS), MGH Institute of Health Professions Board Certifications National Commission on Certification of Physician Assistants Clinical Interests Family medicine Languages Spoken English Back to Medical Providers

MEDICAL PROVIDER BIOGRAPHY Michelle Rey MSN, APRN, FNP-C, FNP-BC Family Medicine Primary Office Location 145 Hollis St. Role/Year Joined Amoskeag Health Family Nurse Practitioner/2024 Education Master of Science in Nursing (MSN), Family Nurse Practitioner (FNP), Regis College Bachelor of Science in Nursing, Regis College Bachelor of Science in Exercise Physiology Board Certifications American Academy of Nurse Practitioners, Family Nurse Practitioner ANCC, Family Nurse Practitioner Clinical Interests Pediatrics and women’s health Languages Spoken English, Spanish Back to Medical Providers

MEDICAL PROVIDER BIOGRAPHY Maurene Mugariri APRN-BC Family Practice Primary Office Location 145 Hollis Street Year Joined Amoskeag Health 2024 Treatments & Services Family Nurse Practitioner Education Master of Science in Nursing (MSN), Family Nurse Practitioner (FNP) Board Certifications ANCC Clinical Interests Working with patients of all ages and backgrounds from newborns to elderly adults. Giving more holistic care and general wellness to assist patients in managing and overcoming both acute and chronic health conditions. Languages Spoken English Back to Medical Providers

BEHAVIORAL HEALTH CLINICIAN BIOGRAPHY Anna Sigel MA Behavioral Health Clinician Primary Office Location 1245 Elm Street Year Joined Amoskeag Health 2024 Treatments & Services Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Person Centered, and Solution Focused Education Master's in Clinical Mental Health Counseling, New England College Bachelor of Science in Psychology Clinical Interests Adolescent and young adults, substance use disorder 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 Elizabeth Keane MD Pediatrics Primary Office Location 1245 Elm Street, The Dr. Selma Deitch Center for Children & Teens Role/Year Joined Amoskeag Health Staff Pediatrician, 1993 – 1997; 2006 Treatments & Services Pediatrician Education Bachelor of Arts, College of the Holy Cross, Worcester, MA Doctor of Medicine (M.D.), University of Massachusetts Medical School Post-doctoral training Residency: Children’s Hospital National Medical Center, Washington DC Board Certifications Pediatrics (1990, 1997, 2004) Clinical Interests Adolescent Medicine Developmental Pediatrics International Child Health 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