Elliot Developmental/Behavioral Pediatrics: Patient Information

Elliot Developmental/Behavioral Pediatrics: Patient Information

Patient Information

To schedule, cancel, or reschedule an appointment, please call our office at 603-663-3222 or log into your MyChart account. If you do not have a MyChart account, please click here to sign up.

Insurance Card, including your policy number and/or Medicare/Medicaid card.

Co-payment is expected when you check in. For your convenience we accept checks, cash, Visa, Mastercard, Discover, and American Express.

Prescription Medication(s) in their original bottles or a list of all medications, including over-the-counter medications, vitamins, and supplements, and the amounts you take.

To refill a prescription, please call our office at 603-663-3222 or log into your MyChart account. If you do not have a MyChart account, please click here to sign up. 

Please allow 48 hours to refill medications.

To request a referral, please call our office at 603-663-3222 or log into your MyChart account. If you do not have a MyChart account, please click here to sign up.

Resources

Use this PDF to guide the referral process.

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ADHD- Attention Deficit Hyperactivity Disorder

Autism Spectrum Disorders/ Asperger Syndrome

Development - Screening

Chronic Conditions and Disabilities

New Hampshire Supports

Learning Disability

Tic Disorders/ Tourette’s Syndrome

Important Documents

Please click here to download a copy of our health questionnaire.

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If you would like a copy of your medical record, please download and complete the form below. Completed forms can be mailed, faxed, or brought back to our office.

Medical Records Release Form

Contact Us

Please contact us for questions about services available at Elliot Developmental/Behavioral Pediatrics.