Located within Elliot Behavioral Health Services
445 Cypress Street, Suite 8
Manchester, NH 03103
Hours: Monday thru Friday 8:00 a.m. - 4:30 p.m.
Patients coming to us for the first time will receive a new patient packet by mail. Occasionally, the packet may be delayed in the mail getting to you in a timely fashion. For your convenience, electronic copies of our previsit questionnaires that can be filled out electronically or printed and brought to your first visit can be found here. It is not necessary to fill out both questionnaires. Most patients will receive the Medical/Mobility Questionnaire. Those patients only seeing Dr. Gourvitz for neuropsychological assessment will fill out the neuropsychological questionnaire.
We grow by learning not only what we’re doing right but also by what we could be doing better. Please let us know about your visits with us so that we can continue to improve our services. Forms can be emailed to firstname.lastname@example.org , sent by mail or drop it off in our feedback box at the front desk.
Advance Care Planning Guide - This downloadable booklet offers information about the importance of completing Advance Directives including the Durable Power of Attorney for Healthcare and Living Will documents. The booklet contains a standard form that can be filled out and is valid in the state of New Hampshire when notarized. Notary services are available for our patients here at EMMC.