Patient Information & Forms

Patient Information and Forms

We take your personal health information very seriously and we comply with HIPAA regulations.  
Our office manager, Rene' Comire, was recently 
interviewed by 1st Healthcare Compliance.  
She is featured in their January 2020 client publication.
Listen to the interview here or watch the interview below.

Pre-Visit Information

Thank you for choosing Manchester OB/GYN Associates. To help ensure your visit goes smoothly, we have gathered all the necessary forms and information you will need in one location. 


Please make sure to read all the other policies as well.
Disclaimer and Privacy Policies Your Rights and Protection Against Surprise Medical Bills

Office Policies

  • Arrival Policy: We ask patients to arrive 10-15 minutes prior to the scheduled appointment time. This allows us to check you into the system and verify your information prior to your appointment with the provider.
  • Late Policy: If you arrive more than 10 minutes late for your appointment there is a possibility your appointment may be rescheduled. This will be done in order to keep the appointments following running on time.
  • No Show Policy: Our office requires a 24-hour notice to cancel or reschedule an appointment. At Manchester OB/GYN Associates, we make every effort to schedule your appointment in a timely fashion, while ensuring the appointment length allows time for you to discuss your medical concerns with your provider. A last-minute cancellation or missed appointment will not only delay your care but also prevents us from rescheduling another patient who could have been seen at that time. We do understand that sometimes unforeseen emergency situations arise; however, we ask that you provide us with the courtesy of canceling or rescheduling your appointment at least 24 hours prior to your scheduled appointment.  Please be aware that we do charge $50 for each appointment that is missed or rescheduled with less than 24 hours notice. If you have more than two last-minute rescheduled or missed appointments you may be discharged from our practice.

Epic Electronic Medical Records

My E Chart
We use Epic for our electronic medical records (EMR).  This is the same system used at Elliot Hospital.  Your records from our office are completely integrated with Elliot providers.  Much of your health information, from both our office and the Elliot, will be available to you in one convenient location by signing up for MyEChart.

Proud Member of the U.S. Women's Health Alliance

Obgyn — New Nurse Practitioner in Manchester, NH
The U.S. Women’s Health Alliance is a network of the most experienced, knowledgeable and passionate women healthcare providers across the nation. This organization was founded in 2012 based on one important Mission: to deliver the highest quality and most affordable healthcare to women.  Check out their patient page here

Humana/Tricare

Obgyn — New Nurse Practitioner in Manchester, NH
We are grateful to members of the armed forces who protect and serve our country. We are committed to providing quality care to military families. We proudly accept Humana/Tricare patients. Thank you for your service! Call us today for an appointment!

Laboratory Services

We send the majority of blood work and pathology samples to the Elliot Medical Lab (EML). This will generate a separate cytology bill from the lab. A second bill from Pathology Specialists of NH will also occur for all pathology samples. If you would like to have your labs and pathology go to an independent laboratory please notify your medical assistant the day of your visit. If you do not inform the staff of which lab to use the day of your service it will be sent to Elliot Medical Lab automatically. Any questions please contact your health insurance directly prior to your visit. 
Plasma Therapy - Laboratory Works in Manchester, NH
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