If you already have an appointment with Access Sports Medicine & Orthopaedics, save time by printing or completing the following forms prior to your visit with us.  In order to access these forms, please complete our Patient Consent for Use of Electronic Mail.

Available Patient Forms:

  • Patient Registration Form
  • Patient Health & History Form
  • Accepted Insurances and our Payment Policy Form
  • Worker’s Compensation Insurance Form
  • Authorization Form for Use and Disclosure of Protected Health Information
  • HIPPA Compliance (Notice of Privacy Practices) & Acknowledgement Form
  • New Patient Worksheet
  • Patient Survey Form
  • Patient Testimonial Form
  • Subscribe to our Email List Form
  • Pay your bill online
  • Register to Receive your Appointment Reminder via Email
  • Release for Permission to Discuss Medical Records

Patients are seen by appointment and both physician and self referrals are welcomed. Access computerized appointment scheduling system enables our staff to provide patients with appointments quickly and efficiently. If you prefer to call Access Sports Medicine & Orthopaedics, please visit our Contact Us page to learn more about our five (5) locations or below for our Employee Phone & Email Directory.

 

Department Name/Practice
Phone
Name
Email Address
Access Acceleration 603.778.4890 Dan Randlett drandlett@accessacceleration.com
Access Open MRI and Imaging Center Ext. 3058 Natalie DuBois ndubois@accesssportsmed.com
Access Rehabilitation Ext. 3104 Christie Hudson chudson@accesssportsmed.com
Administrator Ext. 3007 Pam Bronson pbronson@accesssportsmed.com
Advantage MIS/IT Services Ext. 3014 Tyler Albert talbert@advantagemis.com
Billing Department Ext. 3037 Jessica Martin jmartin@accesssportsmed.com
Clinical Supervisor Ext. 3026 Cheryl Tucker ctucker@accesssportsmed.com
Human Resources Manager Ext. 3010 Mary Lovely mlovely@accesssportsmed.com
Medical Records Ext. 3011 Bonnie Demaree Medical Records Email
Office Manager Ext. 3043 Barbara Gauthier bgauthier@accesssportsmed.com
Patient Finances Ext. 3053 Lorri Orzechowski lorzechowski@accesssportsmed.com
Surgical Scheduling Ext. 3038 Janet Woodman jwoodman@accesssportsmed.com
X-Ray Department Ext. 3020 Dianne Crisp dcrisp@accesssportsmed.com
Portsmouth Office 603.431.3575 n/a n/a
Raymond Office 603.895.6224 n/a n/a
Rochester Office 603.330.3888 n/a n/a