Atech Authorization Forms 2017-08-11T14:04:29+00:00

ATECH New Patient Registration

Thank you for submitting the intake form!

In order for us to receive the proper information from your health care providers, please download the following two forms. Once you do, please print, fill out, and submit to your health care provider for authorization.

(Right-click and choose “save as” to download each form)

Authorization Form

Medical Approval Form

If you have any questions or concerns, please don’t hesitate to call any of our offices:

Telephone Number: (603) 226-2900

Sincerely,
Crotched Mountain Foundation – ATECH Staff