Following is a list of forms you may need as a Derry Medical Center patient. If you have questions or are looking for information not listed here, please call us at 603.537.1300.

Release of Medical Records Form:

Patients of Doctors Bennett, Fitzgerald or Rosenbaum:

If you are a current patient of Dr. Bennett, Dr. Fitzgerald or Dr. Rosenbaum, and wish to continue to be a patient at their new office located at 160 S. River Road, Bedford, NH 03110, please select the link below to complete an electronic Medical Release form Release of Medical Records Form for Bedford Commons Practice patients.

Other Forms for All Patients: