Forms, Online Resources, & Library of Documents


All forms and documents can be located below, in alphabetical order.  Simply click on a link to download the corresponding document. 
Please call 603-237-8336 for more information.
ISHC Brochure
Outreach Services Brochure
2011 ISHC Annual Report

 
Household Assesment Application - English
Household Assesment Letter - English
Household Assesment Application - French
Household Assesment Letter - French
HHA Sliding Fee Chart - Family Planning Services
HHA Sliding Fee Chart - FQHC Services

*Please print out the HHA form and bring an original signed copy to the Revenue Cycle Manager at Indian Stream.*
Application for Assistance - NH Department of Health and Human Services
Examples of Acceptable Proofs - for Application for Assistance

*You must be a patient of Indian Stream Health Center for assistance with filling out the "Application for Assistance" forms.  Please contact Ginny at 603-388-2414 for details.*

.






 

Helpful Online Resources:

 

Upper Connecticut Valley Hospital

North Country Community Recreation Center, Colebrook, NH

North Country Chamber of Commerce

45th Parallel EMS

Academy of Pediatrics

American Cancer Society

American Diabetes Association

American Heart Association - The official website of the American Heart Association provides a wide range of information on heart disease, heart health, self-help and statistics.

Bi-State Primary Care Association

Bureau of Primary Health

Center for Disease Control and Prevention - The Centers for Disease Control and Prevention (CDC) is recognized as the lead federal agency for protecting the health and safety of people, at home and abroad, providing credible information to enhance health decisions, and promoting health through strong partnerships. The site includes information on disease prevention and control, environmental health, and health promotion and education activities.

Coos Family Support Project

Health Care.gov

Health Finder

Healthy Kids
 

National Association of Community Health Centers

New Hampshire Legal Assistance

NIH Senior Health

North Country Health Consortium

Office of Rural Health Policy

Poison Help - US Department of Health and Human Services

Rural Assistance Center

WRJ VAMC Mental Health Services
Visit Us on Facebook!

www.SaveOurCHCs.org