Welcome to Diabetes & Endocrinology Consultants

Thank you for choosing Wentworth Health Partners Diabetes & Endocrinology Consultants. 

As a new patient to our practice, please complete the Registyaion Form and Protected Health Information Release Authorization Form in advance of your first appointment. Patients with diabetes and gestational diabetes are also asked to completed the appropriate blood glucose log. 

• Patient Registration Form
• Protect Health Information Release Form 
• Blood Glucose Log
• Pregnancy Blood Glucose Log

Additional Forms

When you arrive for your first appointment, please bring: 

• All of your health insurance cards
• Photo identification (current driver’s license, employee badge or military identification card) or two forms of alternate identification that include your name and address (such as utility or phone bills or lease agreement). 
• All medications you are currently taking, including vitamins and over the counter medications. This will ensure your medication list is accurate and current with dosages and dosing instructions.

Questions

If you have any questions prior to your scheduled appointment, please call us at (603) 742-1143, Monday through Friday between 8:00 a.m. – 5:00 p.m. Our staff will be happy to help you get your questions answered.