Information for Patients & Visitors

Patient Info

Pricing Request

Our staff is happy to help you find pricing for any service you wish to receive at Cottage Hospital. Please download and fill out the Patient Pricing Request Form.

When you are ready, please call us at (603) 787-9220, or fax this form to 603.747.0401. A representative will call you within 48 hours with a price quote.

Patient Bill of Rights

Please download a copy of the Patient Bill of Rights.

Authorization for Disclosure of Medical Information

By law, Cottage Hospital must have your written permission (an “authorization”) to use or give out your personal medical information to those you specify such as your insurer or Medicare.

Please download a copy of the Authorization for Disclosure of Medical Information.